Cardiac arrest due to coronary embolism from a metastatic sarcoma recovered through aspiration thrombectomy

摘要

Coronary embolism in patients with metastatic cancer is an uncommon cause of acute myocardial infarction (1,2). Aspiration thrombectomy becomes necessary in specific conditions, especially in cases of large thrombus or coronary embolism. Some cases of cancer embolism, with restoration of coronary flow through percutaneous coronary intervention (PCI) using aspiration thrombectomy were reported in the literature (3,4). We report on a rare and lethal case of cardiac arrest due to acute myocardial infarction owing to coronary embolism. Coronary flow was restored and histologic confirmation was made after removal of emboli via aspiration thrombectomy.