Systemic Embolism and Septic Shock Complicated Left Atrial Myxoma: Case Report

Trimeche, Besma; Bouraoui, Hatem; Garbaa, R.; Mahdhaoui, Abdallah; Rhomdane, M. Ben; Ernez-Hajri, S.; Jeridi, Gouider

doi:10.1155/2009/306375

Cited by 3 publications

(3 citation statements)

References 18 publications

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“…With regards to management, surgical excision of the infected myxoma and intravenous antibiotics appear to be therapeutic [ 6 ]. Some reports note an urgency for surgical removal in order to prevent catastrophic embolization, as infected myxomas are two- to threefold more likely to embolize as compared to noninfected [ 12 ]. Other reports however opted to pretreat with antibiotics for several weeks prior to surgical removal [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

A Unique Case of a Right Atrial Myxoma Infected With Escherichia coli

Javeed¹,

Gruhonjic²,

Kirkman³

et al. 2022

Cureus

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A 70-year-old white male, with past medical history of coronary artery disease, peripheral arterial disease status-post bilateral femoral artery stents, insulin-dependent diabetes mellitus, hypertension, hyperlipidemia, arthritis, tobacco use, and alcohol use, presented with shortness of breath and an abnormal finding on a recent transesophageal echo. This had revealed a large, fixed mass in the right atrium. Our differential diagnosis had included thrombus, endocarditis, myxoma, papillary fibroelastoma, sarcoma, and metastatic tumor. The cardiothoracic surgeon excised this mass, which upon culturing, revealed what we found to be the only reported case of an atrial myxoma infected with Escherichia coli. In addition to surgical excision, the patient was treated with six weeks of intravenous cefepime.

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Section: Discussionmentioning

confidence: 99%

A Unique Case of a Right Atrial Myxoma Infected With Escherichia coli

Javeed¹,

Gruhonjic²,

Kirkman³

et al. 2022

Cureus

View full text Add to dashboard Cite

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“…Including our case, 47 of 58 cases (81.0%) were caused by gram-positive cocci, and 14 of them were caused by S. aureus . Five cases combined with DIC have been reported, and all five cases were infected by S. aureus [ 4 , 5 , 8 , 9 ]. DIC causes a haemostatic disorder and micro-thromboembolisms in small systemic arteries, which leads to multiple organ failure and creates a much higher operative risk.…”

Section: Discussionmentioning

confidence: 99%

“…DIC causes a haemostatic disorder and micro-thromboembolisms in small systemic arteries, which leads to multiple organ failure and creates a much higher operative risk. Four of the five patients survived but one died 10 days after surgery as a result of DIC [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Successful surgical resection of infected left atrial myxoma in a case complicated with disseminated intravascular coagulation and multiple cerebral infarctions: case report

Yoshioka

Takahashi

Ishizaka

et al. 2011

J Cardiothorac Surg

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Cardiac myxoma is the most common primary cardiac tumour, but infected cardiac myxoma is relatively rare. Infected cardiac myxoma is very fragile, and has a potential to lead to catastrophic disorder with systemic bacteremia, systemic mycotic embolism, and disseminated intravascular coagulation (DIC).We present here the successful surgical treatment of a case of infected left atrial myxoma with septic shock, DIC and cerebral infarction without hemorrahage. Collective review of 58 reported cases with infected cardiac myxoma revealed that surgical treatment for it were still challenging and its result was poor. Until date, only one successful surgical treatment for a case complicated by DIC and cerebral infarctions has been reported, and our report describes second such case of successful resection. Even though this report is limited to a case, only aggressive and prompt surgical intervention could relieve the intractable conditions in such a patient with extremely high risk.

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Infected cardiac myxoma: an updated review

Yuan¹

2014

Revista Brasileira De Cirurgia Cardiovascular

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OBJECTIVE This study aims to present an updated clinical picture of the infected cardiac myxoma. Revankar & Clark made a systematic review of infected cardiac myxoma based on the literature before 1998. Since then, there has not been any updated information describing its recent changing trends.METHODS A comprehensive literature search of infected cardiac myxoma was conducted on MEDLINE, Highwire Press and Google between 1998 and 2014.RESULTS In comparison with Revankar & Clark's series, the present series disclosed a significantly decreased overall mortality. It is believed that refinement of the prompt diagnosis and timely management (use of sensitive antibiotics and surgical resection of the infected myxoma) have resulted in better outcomes of such patients.CONCLUSION The present series of infected cardiac myxoma illustrated some aggravated clinical manifestations (relative more occasions of high-grade fever, multiple embolic events and the presence of refractory microorganisms), which should draw enough attention to careful diagnosis and treatment. In general, the prognosis of infected cardiac myxoma is relatively benign and the long-term survival is always promising.

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Systemic Embolism and Septic Shock Complicated Left Atrial Myxoma: Case Report

Cited by 3 publications

References 18 publications

A Unique Case of a Right Atrial Myxoma Infected With Escherichia coli

A Unique Case of a Right Atrial Myxoma Infected With Escherichia coli

Successful surgical resection of infected left atrial myxoma in a case complicated with disseminated intravascular coagulation and multiple cerebral infarctions: case report

Infected cardiac myxoma: an updated review

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