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An Unusual Complication Following Transarterial Chemoembolization: Acute Myocardial Infarction

Journal Article · · Cardiovascular and Interventional Radiology
 [1];  [2];  [1]; ; ;
  1. Armed Forces Taichung General Hospital, Division of Gastroenterology, Department of Internal Medicine (China)
  2. Tri-Service General Hospital, National Defense Medical Center, Department of Radiology (China)

Transarterial chemoembolization has been widely used to treat unresectable hepatocellular carcinoma. Various complications have been reported, but they have not included acute myocardial infarction. Acute myocardial infarction results mainly from coronary artery occlusion by plaques that are vulnerable to rupture or from coronary spasm, embolization, or dissection of the coronary artery. It is associated with significant morbidity and mortality. We present a case report that describes a patient with hepatocellular carcinoma who underwent transarterial chemoembolization and died subsequently of acute myocardial infarction. To our knowledge, there has been no previous report of this complication induced by transarterial chemoembolization for hepatocellular carcinoma. This case illustrates the need to be aware of acute myocardial infarction when transarterial chemoembolization is planned for the treatment of hepatocellular carcinoma, especially in patients with underlying coronary artery disease.

OSTI ID:
21429065
Journal Information:
Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 1 Vol. 33; ISSN 0174-1551; ISSN CAIRDG
Country of Publication:
United States
Language:
English

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