Leukemic Ischemia: A Case of Myocardial Infarction Secondary to Leukemic Cardiac Involvement
| Autor: | Dzmitry Fursevich, Colin Zuchowski, Joseph Limback, Melissa Kendall, Ashley Ramirez, Naim Fanaian, Jeremy Burt |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: | |
| Zdroj: | Case Reports in Cardiology, Vol 2017 (2017) |
| Druh dokumentu: | article |
| ISSN: | 2090-6404 2090-6412 |
| DOI: | 10.1155/2017/7298347 |
| Popis: | We report a case of a 39-year-old male who presented to the emergency department with acute chest pain while being in remission from T-cell acute lymphoblastic leukemia (T-ALL). Cardiac markers were elevated and EKG revealed ischemic changes compatible with acute myocardial ischemia. Coronary computed tomography angiography (CCTA) showed calcium-free coronary arteries and soft tissue myocardial infiltration suggestive of cardiac leukemia. A bone marrow biopsy confirmed recurrence of T-ALL, and patient was successfully treated with chemotherapy. We discuss the prospective diagnosis of myopericardial leukemic involvement and the role of CCTA in diagnosis and perform a literature review. |
| Databáze: | Directory of Open Access Journals |
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