Author + information
- Received May 2, 2013
- Revision received May 21, 2013
- Accepted June 20, 2013
- Published online December 24, 2013.
- Gopalan Nair Rajesh, MD, DM,
- Deepak Raju, MD, DM,
- Vellani Haridasan, MD, DM,
- Chakanalil Govindan Sajeev, MD, DM, PhD,
- Mangalath Narayanan Krishnan, MD, DM,
- Sadanandan Rajesh, MS, MCh, DNB and
- Kudakachira Mathew Kuriakose, MS, MCh
A 38-year-old female presented with typical angina, ST-segment depression in leads V1 to V4, and elevated troponin. Echocardiographic evaluation (A, Online Video 1) and 64-slice computed tomography (CT) (B) showed a large intrapericardial mass compressing the left atrium and ventricle. Displacement and compression of the left main coronary artery and left circumflex were evident on coronary angiography (C, Online Video 2) and 3-dimensional CT reconstruction (D). A well-encapsulated intrapericardial tumor with clot inside was removed (E). Bleeding into tumor explained the mode of presentation as acute coronary syndrome. Histopathology was consistent with schwannoma with S 100 positivity (F and G).
Intrapericardial paraganglioma presenting as atypical chest pain has been reported previously (1). This is the first case report of an intrapericardial tumor presenting as acute coronary syndrome.
- Received May 2, 2013.
- Revision received May 21, 2013.
- Accepted June 20, 2013.
- 2013 American College of Cardiology Foundation