Bilateral acute lower limb ischemia secondary to complete embolization of cardiac myxoma

J Vasc Surg. 2020 May;71(5):1759-1761. doi: 10.1016/j.jvs.2019.08.264. Epub 2019 Nov 7.

Abstract

Cardiac myxomas are the most common benign cardiac tumors in adults that can present with peripheral embolization. Complete detachments of myxomas are rare and tend to cause aortoiliac embolism. We report a case of a middle-aged woman with bilateral popliteal artery and segmental renal artery embolisms secondary to a completely detached cardiac myxoma. This case highlights cardiac myxomas as an important cause of acute limb ischemia and that it is not excluded by a normal echocardiogram result.

Keywords: Atrial myxoma; Cardiac myxoma; Limb ischemia; Peripheral embolization.

Publication types

  • Case Reports

MeSH terms

  • Anticoagulants / therapeutic use
  • Computed Tomography Angiography
  • Diagnosis, Differential
  • Echocardiography
  • Embolism / diagnostic imaging
  • Embolism / etiology*
  • Embolism / therapy
  • Embolization, Therapeutic
  • Female
  • Heart Neoplasms / complications*
  • Heart Neoplasms / diagnostic imaging
  • Heart Neoplasms / therapy
  • Humans
  • Ischemia / diagnostic imaging
  • Ischemia / etiology*
  • Ischemia / therapy
  • Lower Extremity / diagnostic imaging
  • Magnetic Resonance Imaging
  • Middle Aged
  • Myxoma / complications*
  • Myxoma / diagnostic imaging
  • Myxoma / therapy
  • Popliteal Artery
  • Renal Artery

Substances

  • Anticoagulants