ABSTRACT

Chemotherapy related myocardial infarction is rare but can be life-threatening. Herein, we present a 24-year-old yolk-sac tumor patient admitted to the emergency department with acute myocardial infarction. The patient had received the third cycle of combined chemotherapy with bleomycin, etoposide and cisplatin for days ago. Electro- cardiogram showed acute anterior myocardial infarction and the patient was treated successfully with tissue plasminogen activator. To the best of our knowledge, this is the first case which was treated with fibrinolytic therapy in a patient with chemotherapy related myocardial infarction in literature. Cancer chemotherapy may be complicated by acute coronary events and physicians should assess cautiously patients according to their coronary symptoms and risk factors before and during chemotherapy.

Keywords: Myocardial infarction Chemotherapy Yolk sac tumor