Journal of Cardiovascular Echography

CASE REPORT
Year
: 2013  |  Volume : 23  |  Issue : 3  |  Page : 84--87

Direct left ventricular metastasis reduction: 3D-echo monitoring for management of clinical case


Leggio Stefano1, Buccheri Sergio1, Soto-Parra Hector2, Monte Ines1 
1 Department of Medical and Pediatric Sciences, University of Catania, Catania, Italy
2 Medical Oncology Unit, A.U.O. Policlinic University of Catania, Catania, Italy

Correspondence Address:
Monte Ines
Clinical Echocardiography, AOU Policlinic University of Catania, Via Santa Sofia 78, Catania 95125
Italy

A 52-year-old woman with a lung carcinoma metastatic to bone was admitted to the Cardiology Department for acute chest pain after 1 week of the oncologic therapy. Electrocardiographic examination (ECG) revealed ischemic picture with ST-T wave abnormalities in DI and aVL leads and poor progression of R wave in V1-V4 leads. Two- and three-dimensional transthoracic echocardiography (2D/3D TTE) showed myocardial involvement with infiltration of the anterolateral left ventricular (LV) wall from the epicardial to the endocardial layer, apical hypokinesia, LV ejection fraction (LVEF) and global 3D longitudinal strain reduction, but was absent pericardial effusion. Three months from the beginning of erlotinib, the patient showed a significant reduction in myocardial involvement with no ECG-ST elevation. Echo showed a mild regression of the wall infiltration and a slightly improvement of LVEF and strain. A computed tomography (CT) scan showed partial remission of the primary lung lesion, intracavitary and intramyocardial mass.


How to cite this article:
Stefano L, Sergio B, Hector SP, Ines M. Direct left ventricular metastasis reduction: 3D-echo monitoring for management of clinical case.J Cardiovasc Echography 2013;23:84-87


How to cite this URL:
Stefano L, Sergio B, Hector SP, Ines M. Direct left ventricular metastasis reduction: 3D-echo monitoring for management of clinical case. J Cardiovasc Echography [serial online] 2013 [cited 2019 Oct 16 ];23:84-87
Available from: http://www.jcecho.org/article.asp?issn=2211-4122;year=2013;volume=23;issue=3;spage=84;epage=87;aulast=Stefano;type=0