Leukemic Ischemia: A Case of Myocardial Infarction Secondary to Leukemic Cardiac Involvement

Abstract EN

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.