Key result
Surgical removal of an embolized cardiac myxoma occluding the abdominal aorta triggers catastrophic ischemia-reperfusion injury.
Why the study?
Cardiac myxoma can present with diverse symptoms including embolization, but occlusion of the abdominal aorta above the renal arteries by myxoma is very rare.
Case Report (n=1)
Cardiac myxoma can rarely present as a massive embolic occlusion of the abdominal aorta above the renal arteries, carrying a high risk of catastrophic ischemia/reperfusion injury upon removal.
Acute paraplegia from suprarenal aortic myxoma occlusion warrants diagnostic vigilance; case report leaves open optimal reperfusion strategies.
The presentations of cardiac myxoma are diverse, from asymptomatic to a variety of symptoms due to embolization. Occlusion of abdominal aortic bifurcation by straddled myxoma is not common; however, obstructive level above renal artery is very rare. We present a patient with cardiac myxoma who presented with acute onset of paraplegia. The aorta was occluded from the level of the liver dome to the renal arteries, and catastrophic outcome (ischemia/reperfusion) following its removal.
No takes yet. Share an insight, caveat, or question.
Huang et al. (2012) conducted a case report in Cardiac myxoma with abdominal aortic occlusion (n=1). Surgical removal of myxoma was evaluated on Ischemia/reperfusion outcome following removal. Surgical removal of an embolized cardiac myxoma occluding the abdominal aorta from the liver dome to the renal arteries resulted in a catastrophic ischemia/reperfusion outcome.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: