TY - JOUR T1 - Acute myocardial infarction caused by paradoxical tumorous embolism as a manifestation of hepatocarcinoma JF - Heart JO - Heart SP - e29 LP - e29 DO - 10.1136/hrt.2004.033480 VL - 90 IS - 5 AU - O Diaz Castro AU - H Bueno AU - L A Nebreda Y1 - 2004/05/01 UR - http://heart.bmj.com/content/90/5/e29.abstract N2 - A 71 year old patient presented with a non-ST segment elevation acute myocardial infarction. The echocardiogram showed several masses attached to the interatrial septum. Several days after admission the patient died. A postmortem examination found a large hepatocarcinoma with intravascular and intracardiac metastases and several myocardial infarctions of different ages. The infarctions had been caused by coronary paradoxical embolisms through a patent foramen ovale and contained neoplastic cells from the liver carcinoma, which had not been diagnosed. The cause of death was a massive pulmonary embolism. ER -