Right ventricle mass induced coronary artery steal phenomenon: A rare clinical manifestation on one leiomyosarcoma patient

Weng Chio Tam, Ho Shun Cheng, Cheng Chih Chung, Ming Hsiung Hsieh

Research output: Contribution to journalArticle

Abstract

We report a 43-year-old female with the underlying disease of retroperitoneal leiomyosarcoma and initial presentation of ST elevation myocardial infarction. Coronary angiography showed an absence of coronary artery stenosis and a huge, ill-defined cardiac mass which was fed by both the left anterior descending artery and the right coronary artery. Coronary blood flow was obviously shunted by the neovascularized cardiac tumor. Right ventricle metastatic leiomyosarcoma was diagnosed according to her clinical course, images of echocardiography and computed tomography. In conclusion, we speculated that ST-segment elevation in electrocardiogram and typical anginal symptoms can provide significant evidence for myocardial ischemia caused by coronary steal phenomenon due to a right ventricular metastatic leiomyosarcoma.

Original languageEnglish
Pages (from-to)464-467
Number of pages4
JournalActa Cardiologica Sinica
Volume31
Issue number5
DOIs
Publication statusPublished - Sep 1 2015

Fingerprint

Leiomyosarcoma
Heart Ventricles
Coronary Vessels
Heart Neoplasms
Coronary Stenosis
Coronary Angiography
Myocardial Ischemia
Echocardiography
Electrocardiography
Arteries
Tomography

Keywords

  • Coronary steal phenomenon
  • Leiomyosarcoma
  • Myocardial infarction

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Right ventricle mass induced coronary artery steal phenomenon : A rare clinical manifestation on one leiomyosarcoma patient. / Tam, Weng Chio; Cheng, Ho Shun; Chung, Cheng Chih; Hsieh, Ming Hsiung.

In: Acta Cardiologica Sinica, Vol. 31, No. 5, 01.09.2015, p. 464-467.

Research output: Contribution to journalArticle

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