A Case of Tumoral Acute Coronary Syndrome - Case Report and Literature Review.

IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of Cardiovascular Echography Pub Date : 2024-04-01 Epub Date: 2024-06-28 DOI:10.4103/jcecho.jcecho_69_23

Catarina Isabel Ribeiro Carvalho, Pedro Miguel Rocha Carvalho, Maria Inês Costa Silveira, Ana Isabel Santos Baptista

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Abstract

Cardiovascular disease and cancer constitute the most prevalent illnesses worldwide. Cancer patients show an increased risk of coronary artery disease not only due to shared cardiovascular risk factors, a pro-inflammatory and prothrombotic state induced by cancer itself, the cardiovascular toxicity of cancer therapy, or rarely, due to extrinsic compression of a coronary artery by the primary tumor or a metastatic lesion. Here, we present the case of a 59-year-old man with squamous cell carcinoma of the lung presented with asymptomatic diffuse ST segment depression and troponin T increase. Echocardiography revealed a large mass adjacent to the right atrium, atrioventricular groove, and basal segment of the anterior wall of the left ventricle, which the computed tomography scan showed to encase and probably compress the anterior descending coronary artery. Thus, the patient was diagnosed with acute coronary syndrome due to anterior descendent coronary artery compression by a neoplastic lung mass.

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一例肿瘤性急性冠状动脉综合征--病例报告和文献综述。

心血管疾病和癌症是全球最常见的疾病。癌症患者罹患冠状动脉疾病的风险增加，这不仅是由于共同的心血管危险因素、癌症本身诱发的促炎症和促血栓形成状态、癌症治疗对心血管的毒性，也很少是由于原发肿瘤或转移病灶对冠状动脉的外源性压迫。在此，我们介绍了一例 59 岁男性肺鳞癌患者的病例，该患者出现无症状的弥漫性 ST 段压低和肌钙蛋白 T 升高。超声心动图显示，右心房、房室沟和左心室前壁基底段附近有一巨大肿块，计算机断层扫描显示肿块包裹并可能压迫冠状动脉前降支。因此，患者被诊断为因肿瘤性肺肿块压迫冠状动脉前降支而导致的急性冠状动脉综合征。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Cardiovascular Echography CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

1.40

自引率

12.50%

发文量