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Carcinoma embolization in coronary artery causing myocardial infarction: diagnosis from coronary thromboaspirate.

1 , 2

Pathology, research and practice

Elsevier BV

Carcinoma embolism, Coronary embolism

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      Abstract

      A unique case of myocardial infarction due to coronary artery tumor embolism from colonic adenocarcinoma is described. A 79-year-old man with a history of rectal carcinoma with lung metastases 15 years and 9 years before, respectively, was subjected to primary percutaneous coronary intervention for myocardial infarction with aspiration of a thrombus from the occluded artery. The retrieved material contained fragments of adenocarcinoma tissue. To the best of our knowledge, this is the first reported case of adenocarcinoma coronary embolism diagnosed during life from coronary artery aspirate.

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      Affiliations
      [1 ] The Fingerland Department of Pathology, Charles University Faculty of Medicine and Faculty Hospital in Hradec Králové, Czech Republic. Electronic address: steiner@lfhk.cuni.cz.
      [2 ] Department of Cardiovascular Medicine, Charles University Faculty of Medicine and Faculty Hospital in Hradec Králové, Czech Republic.
      Journal
      Pathol. Res. Pract.
      Pathology, research and practice
      Elsevier BV
      1618-0631
      0344-0338
      Mar 2014
      : 210
      : 3
      24373602 S0344-0338(13)00380-4 10.1016/j.prp.2013.11.012

      Coronary embolism, Carcinoma embolism

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