Queer consequence of cough: atrial myxoma embolization with acute occlusion of the abdominal aorta

Lin, Yueh-Hsing; Chen, Shey-Ying; Liu, Kao–Lang; Wu, I-Hui; Huang, Shu‐Chien; Ong, Ai-Wey; Chiang, Wen-Chu

doi:10.1016/j.ajem.2009.06.027

Cited by 6 publications

(2 citation statements)

References 5 publications

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“…Oclusão aguda da aorta abdominal de origem tumoral é um evento raro e com consequências catastróficas, requerendo uma intervenção cirúrgica rápida 11 .…”

Section: Discussionunclassified

Oclusão arterial aguda de membros inferiores por êmbolo tumoral em paciente com neoplasia de pulmão

Alcântara¹,

Souza²,

Borges³

et al. 2012

J. vasc. bras.

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A embolia arterial periférica originada de tumores malignos é considerada uma manifestação rara da doença neoplásica, podendo se originar de vários sítios, incluindo coração, aorta e veias pulmonares, sendo estas últimas, fontes massivas de embolia por trombo ou tumores com erosão para seu lúmen. Apesar de infrequente, a neoplasia pulmonar deve ser considerada como uma fonte de êmbolos para as extremidades, principalmente quando há invasão neoplásica para as veias pulmonares. Apresentamos o caso de um paciente do sexo masculino submetido à pneumectomia por neoplasia pulmonar, que evoluiu com oclusão arterial aguda de membros inferiores por êmbolo tumoral " a cavaleiro".

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“…Oclusão aguda da aorta abdominal de origem tumoral é um evento raro e com consequências catastróficas, requerendo uma intervenção cirúrgica rápida 11 .…”

Section: Discussionunclassified

Oclusão arterial aguda de membros inferiores por êmbolo tumoral em paciente com neoplasia de pulmão

Alcântara¹,

Souza²,

Borges³

et al. 2012

J. vasc. bras.

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“…Acute occlusion of the abdominal aorta due to embolisation of an atrial myxoma is rare but several cases have been reported [4][5][6][7].…”

Section: Discussionmentioning

confidence: 99%

Acute Leriche Syndrome due to Embolisation of an Atrial Myxoma

J¹,

P²

2015

J Vasc Med Surg

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The presentations of cardiac myxoma are diverse, from asymptomatic to a variety of symptoms due to embolisation. Total occlusion of the abdominal aorta due to embolisation of an atrial myxoma is a rare but lifethreatening event which demands an urgent diagnosis and prompt intervention with embolectomy.In this paper a patient with acute onset paraplegia is presented. CT angiography revealed a large totally occlusive thrombus in the infrarenal abdominal aorta extending into the common iliac arteries. A thrombus in the left atrium was identified as the source of the embolus.Keywords: Atrial myxoma; Acute occlusion of abdominal aorta; Acute Leriche syndrome; TakotsuboCardiomyopathy Case ReportA 68-year-old patient was admitted to the emergency department after a fall during a bike ride because of sudden dizziness. Initially she only had a feeling of discomfort and weakness in the lower extremities en was still able to stand. Shortly afterwards this progressed to paralysis in both legs. Her medical history included diabetes mellitus and active smoking. On admission, the patient was in poor clinical condition with mild tachycardia and fluctuations in blood pressure. She was confused, anxious and sweaty but obeying commands. Clinical examination showed pallor, coldness and paralysis of both legs. Femoral, popliteal and pedal pulses were absent. CT angiography revealed a large totally occlusive thrombus in the infrarenal abdominal aorta extending into the common iliac arteries. A thrombus in the left atrium was identified as the source of the embolus (Figures 1 and 2). Electrocardiography showed ST-segment elevation, consistent with an acute lateral myocardial infarction, and the patient had significantly elevated Troponin I levels. ProcedureIntravenous heparin infusion was started and the patient was transferred to the operation theatre for a bilateral transfemoral embolectomy.Longitudinal groin incisions were made to expose the common femoral arteries and their bifurcation. A size 5 Fogarty was then passed up to the aorta bilaterally with retrieval of a transparent, gelatinous embolus. Biopsies were taken. There was no retrieval of any thrombus distally but there was adequate backflow. Closure of the femoral arteries was done with patch angioplasty after endarterectomy because of severe occlusive pathology. Fasciotomy was not considered because there were no signs of compartment syndrome in the lower extremities. At the end of the procedure both lower extremities were warm and had good capillary refill.

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Cardiac myxoma as a mimic: a diagnostic challenge

Frizell

Higgins

2014

The American Journal of Emergency Medicine

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Queer consequence of cough: atrial myxoma embolization with acute occlusion of the abdominal aorta

Cited by 6 publications

References 5 publications

Oclusão arterial aguda de membros inferiores por êmbolo tumoral em paciente com neoplasia de pulmão

Oclusão arterial aguda de membros inferiores por êmbolo tumoral em paciente com neoplasia de pulmão

Acute Leriche Syndrome due to Embolisation of an Atrial Myxoma

Cardiac myxoma as a mimic: a diagnostic challenge

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