Why the study?
Atrial myxoma can cause emboli to multiple sites leading to widespread concurrent organ damage, but such presentations are unusual and not well characterized.
Case Report (n=1)
Answers are grounded in this paper and cite their sources.
May warrant myxoma excision consideration in embolic stroke; leaves open optimal timing and outcomes in multi-organ cases.
A middle aged man presented to our ED with back pain and confusion, had evidence of acute arterial insufficiency to his lower limbs and myocardial infarction on initial ECG. His workup included an urgent CT, which revealed a filling defect in his dilated left atrium, renal and splenic infarcts, and an embolism in his left internal iliac artery. Urgent embolectomy and fasciotomy could not save his left lower limb, and emergency cardiac surgery was required to excise an atrial myxoma. A brief narrative review of the literature is also presented, with this case being unusual in causing such widespread concurrent multiple organ damage, including stroke and myocardial infarct.
No takes yet. Share an insight, caveat, or question.
Nicholls et al. (2012) conducted a case report in Left atrial myxoma (n=1). Surgical excision was evaluated.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: