Interventricular septum mass presenting as a late acute coronary syndrome with ST-segment elevation: a case report
| Autor: | Arshid Azarine, Veronique Duchatelle, Lucas Coroyer, Philippe Garcon |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Acute coronary syndrome Cardiac computed tomography 030204 cardiovascular system & hematology Doppler echocardiography Intracardiac injection 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Cardiac magnetic resonance imaging Biopsy Case report medicine AcademicSubjects/MED00200 Interventricular septum Cardiac Imaging medicine.diagnostic_test business.industry Intracardiac mass medicine.disease medicine.anatomical_structure Heart failure Radiology Squamous cell lung cancer Cardiology and Cardiovascular Medicine Pulmonary Mass business Contrast-enhanced echocardiography |
| Zdroj: | European Heart Journal: Case Reports |
| ISSN: | 2514-2119 |
| Popis: | Background Intracardiac masses are relatively rare but the diagnosis can be challenging for the cardiologist and the clinical presentation can be misleading. While most of the cardiac masses are benign, malignant masses are mostly metastatic tumours. Case summary An 81-year-old man was admitted to the cardiology department for congestive heart failure with the complaint of recent dyspnoea. The initial electrocardiogram was suggestive of a late presentation of an anterior myocardial infarction. Blood test showed mild and stable elevation of troponin and brain natriuretic peptide. Doppler-echocardiography revealed an interventricular septal thickening. Contrast echocardiography revealed a mass with a possibly necrotic centre and peripheral hypervascularization. Cardiac computed tomography (CT) confirmed the existence of a cardiac tumour with a hypodense centre and also revealed the presence of a large tumour of the lung’s left lower lobe with multiple enlarged lymph nodes associated with possible left adrenal gland metastasis. Computed tomography-guided percutaneous biopsy of the pulmonary mass demonstrated a squamous cell lung cancer which was likely the primary cancer. The patient was discharged home waiting for chemotherapy to start but died a few days later at home of an unknown cause. Discussion Diagnosis of intracardiac mass is difficult, often requiring multiple imaging modalities. Contrast-enhanced echocardiography may help early diagnosis and can be easily implemented with other imaging modalities such as cardiac magnetic resonance imaging or CT. |
| Databáze: | OpenAIRE |
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