Left atrial extension of lung malignancy with ECG changes resembling STEMI

Indian Heart J. 2010 Jan-Feb;62(1):81-3.


Lung malignancy extending into left atrium is seen very infrequently. We had a patient with a fast growing symptomatic lung mass and electrocardiogram showing persistent coving ST elevation without any biomarker change. Transthoracic echocardiography showed a large left atrial mass which was fixed to the free walls and extended into the appendage. There was also a large lung mass that was compressing the heart from its lateral aspect. CT-scan of chest corroborated the lung mass & CT-guided FNAC showed small cell carcinoma.

Publication types

  • Case Reports

MeSH terms

  • Carcinoma, Small Cell* / diagnostic imaging
  • Echocardiography
  • Electrocardiography
  • Female
  • Heart Atria*
  • Humans
  • Lung Neoplasms* / diagnostic imaging
  • Middle Aged
  • Myocardial Infarction / diagnosis*
  • Radiography, Thoracic
  • Tomography, X-Ray Computed