In the present case, there was no identifiable cause. Histologically, a cardiac CAT is characterized by nodular

calcium deposits over a matrix of fibrin and/or amorphous fibrin-like material, hyalinization, inflammatory cells, and degenerated hematologic elements.7) Clinical tests usually show cardiac CATs to be benign, although they may cause GSK J4 chemical structure obstruction or embolism,4) and Inhibitors,research,lifescience,medical cases can evolve fatally.5) An endomyocardial biopsy was not performed because of the risk of right ventricular rupture and further calcific embolization.8) Surgical removal of the tumor may be indicated if embolism has occurred or seems likely. Complete surgical resection should be pursued if possible, considering its recurrence.5) Heart transplantation may be considered if not possible. We chose heart-lung transplantation in the present patient who had multiple calcified emboli and severe right ventricular dysfunction. Inhibitors,research,lifescience,medical During the differential diagnosis, cardiac neoplasias, especially myxomas and fibromas, are considerations, particularly if they are calcified, as are conditions Inhibitors,research,lifescience,medical involving infection or thrombosis.9) Due to the lack of histology,

calcified atrial myxoma, calcified thrombi or other cardiac neoplasms should be also considered as a differential diagnosis of calcific mass of RV. Echocardiography, and CT and MRI provide important Inhibitors,research,lifescience,medical information on the size and shape, attachment site, and pattern of movement of the calcified tumor. Myxomas usually have a short, broad-based attachment and are pedunculated, although calcification may develop in approximately 10% of myxomas. CT scans can detect intracardiac masses and define the extracardiac extension.10) CT scans can also detect even minute amounts of calcium, which facilitated detection of the calcific pulmonary embolism in the

present case. MRI can provide accurate Inhibitors,research,lifescience,medical extension of the tumor and dysfunction of involved cardiac chambers. We recommend utilizing a multimodality imaging approach to accurately characterize intracardiac masses and their complications.
Acute carbon monoxide (CO) poisoning is an important clinical either problem because of severe cardiovascular effects and a large proportion of fatal death. Cardiac manifestations have been well demonstrated to occur in CO poisoning. However, its severity and duration has not yet known.1-3) Myocardial injury may occur as a consequence of moderate to severe CO poisoning, mostly manifested as elevated cardiac biomarkers and the changes of regional wall motion abnormality in transthoracic echocardiography (TTE).4) However, there is a little data regarding the relationship between CO poisoning and myocardial damage.3) Left ventricular (LV) thrombus is not rare but well known complication of stress induced cardiomyopathy.