Why the study?
Cardiac myxoma is the most common primary cardiac tumor, but it rarely presents with systemic or coronary embolization due to tumor mass fragmentation.
Highlights the significance of performing emergency echocardiography in acute myocardial ischemia to identify rare etiologies such as myxoma embolization.
Myxoma embolization may cause acute MI in young adults; single-case data leaves open standardized diagnostic and management algorithms.
Cardiac myxoma is the most common primary cardiac tumor. Rarely it can present with systemic or coronary embolization due to fragmentation of the tumor mass. We present a case of a young male who presented with an acute myocardial ischemia secondary to embolization of a left atrial myxoma originating from the left atrium. The patient underwent successful emergency surgical management of both the myxoma and the occlusion of the coronary artery. In this scenario, the surgery is the only effective treatment. The case also highlights the significance of performing emergency echocardiography in the setting of acute myocardial ischemia to look for possible associated pathology which can inform management plan.
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Al-Musawi et al. (2020) studied this question.
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