Acute ST-segment elevation myocardial infarction due to extrinsic compression of left coronary artery from pulmonary epithelioid hemangioendothelioma A case report

被引:6
作者
Luo, Xiaojia [1 ,2 ]
Song, Ningying [3 ]
He, Sen [2 ]
Wei, Xin [2 ]
Feng, Yuan [2 ]
He, Yong [2 ]
Chen, Xiaoping [2 ]
机构
[1] Second Peoples Hosp Chengdu, Chengdu 610017, Peoples R China
[2] Sichuan Univ, West China Hosp, Dept Cardiovasc Med, Chengdu 610041, Peoples R China
[3] Sichuan Univ, West China Hosp, Dept Otorhinolaryngol Head & Neck Surg, Chengdu 610041, Peoples R China
基金
中国国家自然科学基金;
关键词
acute myocardial infarction; extrinsic compression; pulmonary epithelioid hemangioendothelioma; ST-segment elevation myocardial infarction;
D O I
10.1097/MD.0000000000018158
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Rationale: Acute myocardial infarction is usually caused by coronary atherosclerotic plaque disruption (rupture or erosion), also including other uncommon etiologies. Pulmonary epithelioid hemangioendothelioma (PEH) is a rare low to intermediate malignant vascular tumor originating from vascular endothelial cells. Here, we report a rare case of acute ST-segment elevation myocardial infarction (STEMI) due to extrinsic compression of left coronary artery from PEH. Patient concerns: A 63-year-old woman with pulmonary nodules received left pulmonary nodulectomy, and the pathological examination indicated PEH. Five months after the pulmonary nodulectomy, the patient was admitted due to progressive dyspnea. Diagnosis: Electrocardiography showed the obvious ST-segment elevation in the leads I, aVL, and V1-3, and laboratory tests revealed the elevated level of cardiac troponin T. Emergent coronary angiography and the contrast-enhanced computed tomography scan conformed STEMI due to extrinsic compression of left coronary artery from PEH. Interventions: The patient did not undergo further therapy after the pulmonary nodulectomy. During the present hospitalization, she received basic life support and nutritional support treatment. Outcomes: The patient deteriorated rapidly into multi-organ failure and eventually died. Lessons: Acute STEMI could be caused by extrinsic compression of the coronary artery from the mass effects of PEH, and active therapy and close follow-up should be considered for patients with PEH.
引用
收藏
页数:3
相关论文
共 16 条
[1]   ESC working group position paper on myocardial infarction with non-obstructive coronary arteries [J].
Agewall, Stefan ;
Beltrame, John F. ;
Reynolds, Harmony R. ;
Niessner, Alexander ;
Rosano, Giuseppe ;
Caforio, Alida L. P. ;
De Caterina, Raffaele ;
Zimarino, Marco ;
Roffi, Marco ;
Kjeldsen, Keld ;
Atar, Dan ;
Kaski, Juan C. ;
Sechtem, Udo ;
Tornvall, Per .
EUROPEAN HEART JOURNAL, 2017, 38 (03) :143-153
[2]   Acute Coronary Syndrome Management in Cancer Patients [J].
Al-Hawwas, Malek ;
Tsitlakidou, Despina ;
Gupta, Neha ;
Iliescu, Cezar ;
Cilingiroglu, Mehmet ;
Marmagkiolis, Konstantinos .
CURRENT ONCOLOGY REPORTS, 2018, 20 (10)
[3]   Risk factors and independent predictors of survival in patients with pulmonary epithelioid haemangioendothelioma. Review of the literature and a case report [J].
Amin, Randa M. S. ;
Hiroshima, Kenzo ;
Kokubo, Takeshi ;
Nishikawa, Masafumi ;
Narita, Makoto ;
Kuroki, Motoo ;
Nakatani, Yukio .
RESPIROLOGY, 2006, 11 (06) :818-825
[4]  
[Anonymous], ARQ BRAS CARDIOL
[5]  
[Anonymous], EUR HEART J CASE REP
[6]   Prognostic factors and surgical indications of pulmonary epithelioid hemangioendothelioma: A review of the literature [J].
Bagan, Patrick ;
Hassan, Mohammed ;
Barthes, Francoise Le Pimpec ;
Peyrard, Severine ;
Souilamas, Redha ;
Danel, Claire ;
Riquet, Marc .
ANNALS OF THORACIC SURGERY, 2006, 82 (06) :2010-2013
[7]   Left main coronary artery external compression by lung adenocarcinoma successfully treated with percutaneous coronary intervention [J].
Ferlini, Marco ;
Dore, Roberto ;
Iannopollo, Gianmarco ;
De Ferrari, Gaetano M. ;
Visconti, Luigi Oltrona .
JOURNAL OF CARDIOVASCULAR MEDICINE, 2018, 19 (11) :674-676
[8]   Four-year natural clinical course of pulmonary epithelioid hemangioendothelioma without therapy [J].
Haro, Akira ;
Saitoh, Genkichi ;
Tamiya, Sadafumi ;
Nagashima, Akira .
THORACIC CANCER, 2015, 6 (04) :544-547
[9]  
Ibáñez B, 2015, J AM COLL CARDIOL, V65, P1455, DOI 10.1016/j.jacc.2015.02.032
[10]  
JENNINGS RB, 1974, CIRC RES, V35, P156