Occult Metastatic Melanoma Presenting as an Acute Coronary Syndrome
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Brazilian Journal of Cardiovascular Surgery (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382017000300225 |
Resumo: | Abstract Melanoma is a tumor that virtually involves any tissue and commonly metastasizes to the heart. It is usually not diagnosed because of the absent/nonspecific cardiac signs and symptoms. Herein, we present a case of a 41-year-old man without any cardiovascular risk factor, admitted to the emergency room with chest pain, diagnosed with a myocardial infarction. Due to the presence of a mass adjacent to the mitral valve on the cardiac ultrasound examination, causing mitral regurgitation, the patient was referred to surgery. Pathological analysis of the excised specimens diagnosed the melanoma. The chemotherapy was started and achieved a partial response. Cardiac metastases usually affect the myocardium, leaving the valves unaffected. In this case, the acute coronary syndrome was the first manifestation of the malignant melanoma. We highlight the high level of suspicion needed in these cases. |
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Brazilian Journal of Cardiovascular Surgery (Online) |
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Occult Metastatic Melanoma Presenting as an Acute Coronary SyndromeMelanomaAcute Coronary SyndromeMinimally Invasive Surgical ProceduresAbstract Melanoma is a tumor that virtually involves any tissue and commonly metastasizes to the heart. It is usually not diagnosed because of the absent/nonspecific cardiac signs and symptoms. Herein, we present a case of a 41-year-old man without any cardiovascular risk factor, admitted to the emergency room with chest pain, diagnosed with a myocardial infarction. Due to the presence of a mass adjacent to the mitral valve on the cardiac ultrasound examination, causing mitral regurgitation, the patient was referred to surgery. Pathological analysis of the excised specimens diagnosed the melanoma. The chemotherapy was started and achieved a partial response. Cardiac metastases usually affect the myocardium, leaving the valves unaffected. In this case, the acute coronary syndrome was the first manifestation of the malignant melanoma. We highlight the high level of suspicion needed in these cases.Sociedade Brasileira de Cirurgia Cardiovascular2017-06-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382017000300225Brazilian Journal of Cardiovascular Surgery v.32 n.3 2017reponame:Brazilian Journal of Cardiovascular Surgery (Online)instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)instacron:SBCCV10.21470/1678-9741-2017-0044info:eu-repo/semantics/openAccessVelho,Tiago R.Junqueira,NádiaSena,AndréFerreira,HugoCarvalheiro,CatarinaGuerra,NunoGallego,JavierNobre,Ângeloeng2017-08-14T00:00:00Zoai:scielo:S0102-76382017000300225Revistahttp://www.rbccv.org.br/https://old.scielo.br/oai/scielo-oai.php||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br1678-97410102-7638opendoar:2017-08-14T00:00Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)false |
dc.title.none.fl_str_mv |
Occult Metastatic Melanoma Presenting as an Acute Coronary Syndrome |
title |
Occult Metastatic Melanoma Presenting as an Acute Coronary Syndrome |
spellingShingle |
Occult Metastatic Melanoma Presenting as an Acute Coronary Syndrome Velho,Tiago R. Melanoma Acute Coronary Syndrome Minimally Invasive Surgical Procedures |
title_short |
Occult Metastatic Melanoma Presenting as an Acute Coronary Syndrome |
title_full |
Occult Metastatic Melanoma Presenting as an Acute Coronary Syndrome |
title_fullStr |
Occult Metastatic Melanoma Presenting as an Acute Coronary Syndrome |
title_full_unstemmed |
Occult Metastatic Melanoma Presenting as an Acute Coronary Syndrome |
title_sort |
Occult Metastatic Melanoma Presenting as an Acute Coronary Syndrome |
author |
Velho,Tiago R. |
author_facet |
Velho,Tiago R. Junqueira,Nádia Sena,André Ferreira,Hugo Carvalheiro,Catarina Guerra,Nuno Gallego,Javier Nobre,Ângelo |
author_role |
author |
author2 |
Junqueira,Nádia Sena,André Ferreira,Hugo Carvalheiro,Catarina Guerra,Nuno Gallego,Javier Nobre,Ângelo |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Velho,Tiago R. Junqueira,Nádia Sena,André Ferreira,Hugo Carvalheiro,Catarina Guerra,Nuno Gallego,Javier Nobre,Ângelo |
dc.subject.por.fl_str_mv |
Melanoma Acute Coronary Syndrome Minimally Invasive Surgical Procedures |
topic |
Melanoma Acute Coronary Syndrome Minimally Invasive Surgical Procedures |
description |
Abstract Melanoma is a tumor that virtually involves any tissue and commonly metastasizes to the heart. It is usually not diagnosed because of the absent/nonspecific cardiac signs and symptoms. Herein, we present a case of a 41-year-old man without any cardiovascular risk factor, admitted to the emergency room with chest pain, diagnosed with a myocardial infarction. Due to the presence of a mass adjacent to the mitral valve on the cardiac ultrasound examination, causing mitral regurgitation, the patient was referred to surgery. Pathological analysis of the excised specimens diagnosed the melanoma. The chemotherapy was started and achieved a partial response. Cardiac metastases usually affect the myocardium, leaving the valves unaffected. In this case, the acute coronary syndrome was the first manifestation of the malignant melanoma. We highlight the high level of suspicion needed in these cases. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382017000300225 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382017000300225 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.21470/1678-9741-2017-0044 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Cirurgia Cardiovascular |
publisher.none.fl_str_mv |
Sociedade Brasileira de Cirurgia Cardiovascular |
dc.source.none.fl_str_mv |
Brazilian Journal of Cardiovascular Surgery v.32 n.3 2017 reponame:Brazilian Journal of Cardiovascular Surgery (Online) instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) instacron:SBCCV |
instname_str |
Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) |
instacron_str |
SBCCV |
institution |
SBCCV |
reponame_str |
Brazilian Journal of Cardiovascular Surgery (Online) |
collection |
Brazilian Journal of Cardiovascular Surgery (Online) |
repository.name.fl_str_mv |
Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) |
repository.mail.fl_str_mv |
||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br |
_version_ |
1752126599784824832 |