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Published in: Cardiovascular Intervention and Therapeutics 1/2016

01-01-2016 | Case Report

Coronary thrombus aspiration revealed tumorous embolism of myxofibrosarcoma from the left atrium

Authors: Masamitsu Noguchi, Yoko Yamada, Kenichi Sakakura, Takuji Katayama, Shin-ichi Momomura, Junya Ako

Published in: Cardiovascular Intervention and Therapeutics | Issue 1/2016

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Abstract

Thrombus aspiration is currently the standard strategy for primary PCI. Thrombus can be aspirated via aspiration catheters, restoring coronary blood flow. However, there are a limited number of reports regarding thrombus aspiration toward tumor embolized occlusion. We present a case of 90-year-old male with AMI caused by the metastatic tumor embolism. Emergent coronary angiography revealed total occlusion in three epicardial vessels. Histopathological examination of the aspirated specimen revealed the mixture of thrombus and metastatic tumor cells. Thrombus aspiration was partially effective for restoring coronary blood flow; however, it was very helpful for the final diagnosis of tumor embolism.
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Metadata
Title
Coronary thrombus aspiration revealed tumorous embolism of myxofibrosarcoma from the left atrium
Authors
Masamitsu Noguchi
Yoko Yamada
Kenichi Sakakura
Takuji Katayama
Shin-ichi Momomura
Junya Ako
Publication date
01-01-2016
Publisher
Springer Japan
Published in
Cardiovascular Intervention and Therapeutics / Issue 1/2016
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI
https://doi.org/10.1007/s12928-015-0323-7

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