Symphony of crossfire: Aneurysm, dual vessel occlusion, and lymphoma's hypercoagulable crescendo a case report

Said Al-Najjar1, Noor Abu Hantash2, Dana Bader3

  • 1Cardiology Department, Al-Bashir Hospital, Jordan.

PubMed

Insights

Diagnosing occult myocardial infarction in complex cancer patients is challenging. Multimodal imaging and intervention were crucial for identifying and treating coronary occlusions and a left ventricular aneurysm in a lymphoma patient.

Area of Science:

  • Cardiology
  • Oncology
  • Diagnostic Imaging

Background:

  • Occult myocardial infarction can present atypically in patients with malignancy, advanced age, and comorbidities.
  • Diagnosing recurrent infarction is complicated by these atypical presentations.

Purpose of the Study:

  • To present a complex case of occult myocardial infarction in a patient with lymphoma and comorbidities.
  • To highlight the diagnostic challenges and successful management strategies.

Main Methods:

  • Concurrent percutaneous coronary intervention (PCI) and echocardiography were used for diagnosis.
  • Retrograde imaging identified a left ventricular aneurysm.
  • Stent placement in affected coronary arteries.

Main Results:

  • Thrombotic occlusions in two coronary vessels were identified and treated with PCI.
  • Acute occlusions were resolved by empirical stenting.
  • A previously undiagnosed anteroapical left ventricular aneurysm was revealed.

Conclusions:

  • Multimodal imaging is essential for diagnosing cardiovascular events in oncological patients with atypical presentations.
  • Integrated diagnostic and interventional approaches are vital for complex cases.

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