An Incidental Finding of Coronary-cameral Fistulas in a Critically Ill Patient with a Metastatic Cardiac Tumor

Abstract

A bstract It is extremely rare for a cardiac tumor to present with coronary-cameral fistulas. A 66-year-old Caucasian male presented with worsening dyspnea and subsequently had a cardiac catheterization for an ST-elevation myocardial infarction, revealing no evidence of coronary artery disease but multiple coronary-cameral fistulas. Venoarterial (VA) extracorporeal membrane oxygenation was initiated for a severe cardiogenic shock. Workups including a transesophageal echocardiography and a right heart catheterization led to a diagnosis of metastatic melanoma involving both ventricles of his heart. Angiogenesis is well described in melanomas and our novel case reports the extremely rare association of coronary-cameral fistulas with a metastatic cardiac melanoma. How to cite this article: Thyagarajan B, Bryant C, Khanna AK. An Incidental Finding of Coronary-cameral Fistulas in a Critically Ill Patient with a Metastatic Cardiac Tumor. Indian J Crit Care Med 2021;25(3):340–342.

Estimation of some Trace Elements in the Sera of People with Myocardial Infarction Disease

“…A large data base supports current practises for treating acute myocardial infarction [3][4][5], and registries have indicated a decline in mortality [2]. Approximately a third of deaths in developed countries occur due to coronary artery disease [8], with over 2.4 million deaths in the United States alone attributable to acute myocardial infarction [6]. Acute myocardial infarction can be either STelevation or non-ST-elevation [9].…”