Atrial myxoma should be highly suspected in young, previously healthy females presenting with acute bilateral lower limb ischemia, necessitating urgent embolectomy and subsequent cardiac tumor resection to prevent fatal recurrence.
Although they are rare, atrial myxomas are the most common primary cardiac tumours, to be followed by sarcomas. These tumours are benign and don’t metastasize; however, they do embolize. Myxoma emboli usually go into the systemic circulation because of their usual location in the left atrium. Early diagnosis is usually challenging because of the non-specific symptoms. Therefore, it is not uncommon to have them presented with embolism, congestive heart failure or sudden cardiac death.
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Huthayfa Ghanem (2019) conducted a review in Atrial Myxoma Saddle Aortic Embolism (n=5). Embolectomy followed by cardiac myxomectomy was evaluated on Recurrence of myxoma or embolism.
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