Рентгенология & Радиология, 2017, LVI 121-125

Left anterior descending artery encasement and myocardial infiltration, caused by local recurrence of squamous cell lung cancer, mimicking anterior ST-elevation myocardial infarction

  1. Nossikoff, R. Petkov, G. Stambolijski, G. Lazarova, R. Kalionsky, P. Gatzov, D. Petrov

Abstract.

Lung cancer is a leading cause of death worldwide with poor long term survival rates even in developed countries. Local recurrence is common, in particular in advanced stages of the disease. Some patients do manifest unusual symptoms due to infiltration or compression of the heart, coronary arteries or great vessels. In this case report, we present a patient with early local recurrence of squamous cell lung carcinoma, encasing left anterior descending coronary artery, invading the heart and the chest wall and mimicking anterior ST-elevation myocardial infarction. Suprisingly, there were no pericardial or pleural effusions present. Based on our experience and review of literature, this particular disease course seems to be extremely rare.

Key words: LAD ENCASEMENT. MYOCARDIAL INFILTRATION. SQUAMOUS CELL LUNG CANCER. MYOCARDIAL INFARCTION