Key result
Intracardiac lesions producing a very low cardiac output, such as a right ventricular tumor deposit or right atrial free ball thrombus, can result in symmetrical peripheral gangrene.
Case Report (n=2)
Intracardiac lesions causing very low cardiac output should be considered in the differential diagnosis of symmetrical peripheral gangrene.
Consider intracardiac lesions in symmetrical peripheral gangrene differentials; single case leaves broader applicability open.
Two cases of symmetrical peripheral gangrene associated with intracardiac lesions are described. One had a secondary deposit from a uterine leiomyosarcoma in the wall of the right ventricle, the other had a free ball thrombus in the right atrium; there were no valvular lesions in either case. The published reports of this type of gangrene indicate that it may result from (1) va sospastic conditions, (2) small vessel obstruction, or (3) conditions producing a very low cardiac output. The two patients reported are unusual examples of the last.
No takes yet. Share an insight, caveat, or question.
McGouran et al. (1977) conducted a case report in Symmetrical peripheral gangrene associated with intracardiac lesions (n=2). Intracardiac lesions (secondary deposit from uterine leiomyosarcoma or free ball thrombus) was evaluated on Symmetrical peripheral gangrene. Intracardiac lesions producing a very low cardiac output, such as a right ventricular tumor deposit or right atrial free ball thrombus, can result in symmetrical peripheral gangrene.