PT  - JOURNAL ARTICLE
AU  - O Diaz Castro
AU  - H Bueno
AU  - L A Nebreda
TI  - Acute myocardial infarction caused by paradoxical tumorous embolism as a manifestation of hepatocarcinoma
AID  - 10.1136/hrt.2004.033480
DP  - 2004 May 01
TA  - Heart
PG  - e29--e29
VI  - 90
IP  - 5
4099  - http://heart.bmj.com/content/90/5/e29.short
4100  - http://heart.bmj.com/content/90/5/e29.full
SO  - Heart2004 May 01; 90
AB  - 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.