Acute myocardial infarction as presenting symptom of thymoma with compression on a coronary stent
Beatrice Leonardi1, Giovanni Natale1, Paolo Laperuta2
1Thoracic Surgery Unit, University of Campania "Luigi Vanvitelli", Naples, Italy.
Insights
A large thymoma compressed a coronary stent, causing a heart attack. Robotic surgery successfully removed the thymoma, enabling early diagnosis and treatment for this rare presentation.
Area of Science:
- Cardiology
- Thoracic Surgery
- Oncology
Background:
- Acute myocardial infarction (heart attack) can rarely be caused by external compression of coronary stents.
- Thymoma, a tumor of the thymus gland, typically presents with non-specific symptoms or is found incidentally.
Abstract:
We report the clinical case of a patient with acute myocardial infarction due to coronary stent compression as first manifestation of a large thymoma. The patient underwent a coronarography and thrombus aspiration + plain old balloon angioplasty restoring the stent patency. The mass resection was performed through left robotic-assisted thoracic surgery (RATS), resulting in a type A thymoma pT1a, IIb Masaoka-Koga. An uncommon presentation led to early diagnosis and treatment of a thymoma with both oncological and functional significance.
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