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冠状动脉癌栓导致心肌梗死:来自冠状动脉血栓抽吸物的诊断。

Carcinoma embolization in coronary artery causing myocardial infarction: diagnosis from coronary thromboaspirate.

机构信息

The Fingerland Department of Pathology, Charles University Faculty of Medicine and Faculty Hospital in Hradec Králové, Czech Republic.

Department of Cardiovascular Medicine, Charles University Faculty of Medicine and Faculty Hospital in Hradec Králové, Czech Republic.

出版信息

Pathol Res Pract. 2014 Mar;210(3):198-200. doi: 10.1016/j.prp.2013.11.012. Epub 2013 Dec 5.

DOI:10.1016/j.prp.2013.11.012
PMID:24373602
Abstract

A unique case of myocardial infarction due to coronary artery tumor embolism from colonic adenocarcinoma is described. A 79-year-old man with a history of rectal carcinoma with lung metastases 15 years and 9 years before, respectively, was subjected to primary percutaneous coronary intervention for myocardial infarction with aspiration of a thrombus from the occluded artery. The retrieved material contained fragments of adenocarcinoma tissue. To the best of our knowledge, this is the first reported case of adenocarcinoma coronary embolism diagnosed during life from coronary artery aspirate.

摘要

描述了一例由结肠癌肿瘤栓子引起的心肌梗死的独特病例。一名 79 岁男性,分别在 15 年前和 9 年前患有直肠癌伴肺转移,因心肌梗死接受了经皮冠状动脉介入治疗,并从闭塞动脉中抽吸血栓。取出的物质包含腺癌组织的碎片。据我们所知,这是首例通过冠状动脉抽吸物生前诊断的腺癌冠状动脉栓塞病例。

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