Leiomyosarcoma with coronary fistulae and ventricular septal perforation: A case study
نویسندگان
چکیده
Coronary fistulae and ventricular septal perforation are very rare clinically, and even less caused by cardiac leiomyosarcoma. A case is reported that a 67-year-old female had cardiac leiomyosarcoma with progressive heart failure and coronary fistulae and ventricular septal perforation. This case was special since all ante-mortem examinations and cardiac surgery failed to detect the presence of any abnormal cardiac mass. Therefore, the malignant cardiac tumors could appear in an invasive form without mass and be one of the causes of the coronary fistulae and ventricular septal perforation.
منابع مشابه
CORONARY ARTERIOSYSTEMIC FISTULA
Coronary arteriosystemic fistula which drains into the left ventricular cavity is a rare congenital anomaly. A case of double fistulae between the left anterior descending and left circumflex coronary arteries and left ventricular cavity is presented. The patient's chief complaint, chest pain, was attributable to the "steal phenomenon."
متن کاملCoronary artery-right ventricular communication associated with pulmonary atresia and ventricular septal defect.
THE GENESIS OF COMMUNICATIONS between the right ventricle and coronary arteries commonly associated with pulmonary atresia remains uncertain. Edwards' attributed the persistence of these communicating sinusoids to increased right ventricular pressure and emphasized the importance of right ventricular outflow obstruction, intact ventricular septum, and competence of the tricuspid valve. Other au...
متن کاملCoronary Artery - Right Ventricular
THE GENESIS OF COMMUNICATIONS between the right ventricle and coronary arteries commonly associated with pulmonary atresia remains uncertain. Edwards' attributed the persistence of these communicating sinusoids to increased right ventricular pressure and emphasized the importance of right ventricular outflow obstruction, intact ventricular septum, and competence of the tricuspid valve. Other au...
متن کاملDelayed Ventricular Septal Rupture after Percutaneous Coronary Intervention in Acute Myocardial Infarction
In the era before reperfusion therapy, ventricular septal rupture complicated 1approximate3% of acute myocardial infarctions (AMI) usually 3-5 days after onset. Studies have reported a positive correlation between the incidence of septal perforation and total occlusion of the coronary arteries. A 70-year old female patient was referred to the emergency room with the diagnosis of acute anterior ...
متن کاملA surgical case of ventricular septal perforation after repairing left ventricular free wall rupture.
A 78-year-old woman with diagnosis of acute myocardial infarction (AMI) in the anteroseptal area fell into cardiogenic shock suddenly just before starting percutaneous coronary intervention (PCI). Echocardiography showed left ventricular free wall rupture, then an emergent operation was performed by sutureless patch repair using collagen fleece with fibrinogen-based impregnation. Eight days lat...
متن کامل