Unusual echocardiographic finding as cause of acute coronary syndrome with ST- segment elevation

Abstract

Biventricular metastatic heart tumors from gynecological malignancies presented as an acute coronary syndrome with ST segment elevation are an unusual finding. We present a case of stage-4 vulvar carcinoma that metastasized in both the left and right ventricle. The particularity of the case is the echocardiographic aspect in the emergency room: multiple, large, hyperechogenic masses disseminated in the myocardium, with pericardial extension, in context of acute coronary syndrome with ST segment elevation.

Prevention and Treatment of Acute Coronary Artery Syndrome

“…Shinal vascular intima damage only causes a variable and partially self-disintegrated unstable thrombus; and deep damage (exposure of collagen fibers) will cause insoluble compact platelet thrombus, in addition, deep damage due to the exposure of tissue factors, will activate the coagulation system, produce thrombin, further fixed the thrombus, namely fixed thrombus [16].…”