RESUMEN
In acute coronary syndromes, GPIIb/IIIa platelet inhibitors have demonstrated a reduction in recurrent myocardial ischemia. Conversely, one might expect that enhancing platelet activity in patients in acute coronary syndromes would have the opposite effect. We report a patient with idiopathic thrombocytopenic purpura (ITP) that had recurrent myocardial ischemia associated with administration of intravenous immunogloblin (IVIG). Literature is reviewed.
Asunto(s)
Angiografía Coronaria , Inmunoglobulinas Intravenosas/efectos adversos , Isquemia Miocárdica/inducido químicamente , Isquemia Miocárdica/diagnóstico por imagen , Púrpura Trombocitopénica Idiopática/tratamiento farmacológico , Anciano , Humanos , Inmunoglobulinas Intravenosas/uso terapéutico , MasculinoRESUMEN
Approximately 190 new cases of renal cell carcinoma infiltrate into the inferior vena cava and right atrium every year. Echocardiography often plays a major role in establishing the diagnosis and in guiding surgical therapy. This report describes a patient who presented with shortness of breath but had no classic signs or symptoms of renal cell carcinoma other than chronic anemia. Transthoracic two-dimensional echocardiography and transesophageal echocardiography established the diagnosis of a right atrial mass extending from the inferior vena cava that was later discovered to be renal cell carcinoma.