An unusual complication following transarterial chemoembolization: Acute myocardial infarction

Yi-Liang Lai, Wei-Chou Chang, Wu-Hsien Kuo, Tien-Yu Huang, Heng-Cheng Chu, Tsai-Yuan Hsieh, Wei-Kuo Chang

Research output: Contribution to journalArticle

Abstract

Transarterial chemoembolization has been widely used to treat unresectable hepatocellular carcinoma. Various complications have been reported, but they have not included acute myocardial infarction. Acute myocardial infarction results mainly from coronary artery occlusion by plaques that are vulnerable to rupture or from coronary spasm, embolization, or dissection of the coronary artery. It is associated with significant morbidity and mortality. We present a case report that describes a patient with hepatocellular carcinoma who underwent transarterial chemoembolization and died subsequently of acute myocardial infarction. To our knowledge, there has been no previous report of this complication induced by transarterial chemoembolization for hepatocellular carcinoma. This case illustrates the need to be aware of acute myocardial infarction when transarterial chemoembolization is planned for the treatment of hepatocellular carcinoma, especially in patients with underlying coronary artery disease. © 2009 Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).
Original languageEnglish
Pages (from-to)196-200
Number of pages5
JournalCardioVascular and Interventional Radiology
Volume33
Issue number1
DOIs
Publication statusPublished - 2010
Externally publishedYes

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Keywords

  • Acute myocardial infarction
  • Hepatocellular carcinoma
  • Transarterial chemoembolization
  • doxorubicin
  • gelfoam
  • iodinated poppyseed oil
  • pethidine
  • abdominal pain
  • acute heart infarction
  • adult
  • anorexia
  • article
  • case report
  • cause of death
  • chemoembolization
  • cold sweat
  • dyspnea
  • hepatic artery
  • human
  • liver cell carcinoma
  • male
  • priority journal
  • ST segment elevation
  • thorax pain
  • tumor thrombus
  • weight reduction
  • Arterial Occlusive Diseases
  • Carcinoma, Hepatocellular
  • Chemoembolization, Therapeutic
  • Cholecystitis
  • Coronary Disease
  • Diabetes Mellitus, Type 2
  • Doxorubicin
  • Fatal Outcome
  • Hepatic Artery
  • Hepatitis B, Chronic
  • Humans
  • Iodized Oil
  • Liver Neoplasms
  • Male
  • Middle Aged
  • Myocardial Infarction

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