Author/Authors :
Fursevich, Dzmitry Florida Hospital, Orlando, USA , Zuchowski, Colin Florida Hospital, Orlando, USA , Limback, Joseph Florida Hospital, Orlando, USA , Kendall, Melissa Florida Hospital, Orlando, USA , Ramirez, Ashley Florida Hospital, Orlando, USA , Fanaian, Naim Florida Hospital, Orlando, USA , Burt, Jeremy Florida Hospital, Orlando, USA
Abstract :
We report a case of a 39-year-old male who presented to the emergency department with acute chest pain while being in remission
from T-cell acute lymphoblastic leukemia (T-ALL). Cardiac markers were elevated and EKG revealed ischemic changes compatible
with acute myocardial ischemia. Coronary computed tomography angiography (CCTA) showed calcium-free coronary arteries
and soft tissue myocardial infiltration suggestive of cardiac leukemia. A bone marrow biopsy confirmed recurrence of T-ALL, and
patient was successfully treated with chemotherapy. We discuss the prospective diagnosis of myopericardial leukemic involvement
and the role of CCTA in diagnosis and perform a literature review
Keywords :
Leukemic Ischemia , Myocardial Infarction , Cardiac Involvement , Leukemic
