Yasui Taku, Okuda Yohei, Shioyama Wataru, Oka Toru, Nishikawa Tatsuya, Kamada Risa, Hatano Koji, Nishimura Kazuo, Fujita Masashi
Department of Onco-Cardiology, Osaka International Cancer Institute, 3-1-69 Otemae, Chuo-ku, Osaka, 541-8567 Japan.
Department of Urology, Osaka International Cancer Institute, Osaka, Japan.
Cardiooncology. 2020 Sep 7;6:18. doi: 10.1186/s40959-020-00073-9. eCollection 2020.
Coronary emboli from malignant tumors rarely cause acute myocardial infarction. We report the case of a patient with tumor embolism from an upper tract urothelial carcinoma that caused acute myocardial infarction via a patent foramen ovale. Coronary blood flow was restored by embolus aspiration without stenting. Clinicians must consider malignant tumor embolism as a possible cause of acute myocardial infarction.
恶性肿瘤引起的冠状动脉栓塞很少导致急性心肌梗死。我们报告一例上尿路尿路上皮癌肿瘤栓塞患者,该栓塞通过卵圆孔未闭导致急性心肌梗死。通过栓子抽吸恢复了冠状动脉血流,未进行支架置入。临床医生必须将恶性肿瘤栓塞视为急性心肌梗死的可能病因。