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Correspondence
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Volume 336:1104-1105 April 10, 1997 Number 15
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Coronary Embolization in a Woman with Advanced Breast Cancer

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To the Editor: Coronary embolism is an uncommon clinical problem that can occur in association with valvular heart disease, prosthetic valves, endocarditis, intracardiac thrombosis, or cardiac catheterization.1 Coronary embolization of malignant tissue is an even rarer condition, and only a few cases have been reported.2,3,4,5 Typically, the clinical picture is one of acute myocardial infarction or sudden cardiac death due to occlusion of epicardial vessels. We describe a patient with coronary embolization and an atypical clinical presentation.

This 28-year-old woman had undergone surgery for breast cancer (lobular–ductal carcinoma, pT3pN1pG2–3) nine months earlier. There were no risk factors for coronary heart . . . [Full Text of this Article]

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