27980261 Visualization

A 73 Age - year Age - old Age man Sex who had been transferred Clinical_event to our emergency Nonbiological_location room Nonbiological_location due to sudden Detailed_description chest Biological_structure pain Sign_symptom was diagnosed with ST Disease_disorder - segment Disease_disorder elevation Disease_disorder myocardial Disease_disorder infarction Disease_disorder ( STEMI Disease_disorder ).
He had no coronary risk factors except for a history History of History smoking History for History 50 History years History .
Primary Detailed_description percutaneous Biological_structure coronary Therapeutic_procedure intervention Therapeutic_procedure was performed, and a long Detailed_description , string Shape - shaped Shape contrast Sign_symptom defect Sign_symptom was observed in the left Biological_structure anterior Biological_structure descending Biological_structure artery Biological_structure (Fig.1A).
Optical Diagnostic_procedure coherence Diagnostic_procedure tomography Diagnostic_procedure ( OCT Diagnostic_procedure ) imaging revealed an odd Detailed_description , smooth Texture - surfaced Texture 50 Distance - mm Distance long Distance object Sign_symptom (Fig.1B).
A long Detailed_description , white Color object Sign_symptom which looked Detailed_description like Detailed_description a Detailed_description parasitic Detailed_description worm Detailed_description was retrieved via intracoronary Therapeutic_procedure aspiration Therapeutic_procedure and revascularization Therapeutic_procedure was successfully Lab_value completed Lab_value since neither plaque Sign_symptom rupture Sign_symptom or the presence of thrombus Sign_symptom was detected by OCT Coreference (Fig.1C).
On the eleventh Date hospital Date day Date , transthoracic Biological_structure echocardiography Diagnostic_procedure revealed a new floating Detailed_description object Sign_symptom in the left Biological_structure atrium Biological_structure .
Contrast Diagnostic_procedure computed Diagnostic_procedure tomography Diagnostic_procedure revealed a huge Detailed_description 7×6 Area cm Area mass Sign_symptom that was recognized at admission in the right Biological_structure upper Biological_structure pulmonary Biological_structure lobe Biological_structure with direct Detailed_description pulmonary Detailed_description vein Detailed_description invasion Detailed_description (Fig.1D).
Although the bronchoscopic Diagnostic_procedure findings Diagnostic_procedure were negative for a lung Sign_symptom tumor Sign_symptom , a histopathologic Diagnostic_procedure examination Diagnostic_procedure of the aspirated Detailed_description coronary Biological_structure object Coreference revealed pleomorphic Detailed_description lung Biological_structure carcinoma Disease_disorder (Fig.2).
The patient was diagnosed with STEMI Disease_disorder due to coronary Biological_structure embolization Sign_symptom associated with lung Biological_structure carcinoma Disease_disorder .
Brain Biological_structure MRI Diagnostic_procedure revealed that the patient had an asymptomatic Detailed_description cerebral Biological_structure infarction Sign_symptom in the right Biological_structure frontal Biological_structure lobe Biological_structure and a small Detailed_description parietal Biological_structure lobe Biological_structure lesion Sign_symptom was diagnosed to be metastasis Sign_symptom .
Given all these observations, he was diagnosed with right Biological_structure lung Biological_structure carcinoma Disease_disorder , stage Detailed_description IV Detailed_description ( c Detailed_description - T2bN2M1b Detailed_description ).
He was treated according to the chemotherapy Medication regimens ( carboplatin Medication & paclitaxel Medication ) known to be effective for the treatment of advanced non-small cell lung cancer.
He responded to the treatment and showed a good Lab_value clinical Diagnostic_procedure course Diagnostic_procedure afterwards (Fig.3).
Chemotherapy Medication with a total of 9 Dosage cycles Dosage of the same regimen was used and the carcinoma Diagnostic_procedure progression Diagnostic_procedure was suppressed Lab_value .
He has been doing Sign_symptom well Sign_symptom for more Duration than Duration two Duration years Duration of PCI Therapeutic_procedure and has been followed Clinical_event - up Clinical_event regularly Detailed_description .