Open Access
CC BY 4.0 · Thorac Cardiovasc Surg Rep 2024; 13(01): e43-e47
DOI: 10.1055/a-2489-6334
Case Report: Cardiac

A Firing Cannon: Bilateral Lower Limb Ischemia as a Manifestation of Cardiac Myxoma

1   Department of Cardiac Surgery, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany
,
Raphael Groß
1   Department of Cardiac Surgery, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany
,
Pathare Presheet
1   Department of Cardiac Surgery, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany
,
Abbas Agaimy
2   Institute of Pathology, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany
,
Mattias May
3   Department of Interventional Radiology, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany
,
Micheal Wayend
1   Department of Cardiac Surgery, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany
,
4   Cardiac and Vascular Surgery, Klinikum Bayreuth, Medical Campus Oberfranken of Friedrich Alexander University, Germany
› Institutsangaben

Funding None.
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Abstract

Background Cardiac myxomas are the most common primary cardiac neoplasms.

Case Description We present a case of a middle-aged lady with cardiac myxoma in her left atrium awaiting semi-elective surgery. During the preoperative period, the patient presented emergently with acute bilateral lower limb ischemia. This lady was fortunate to have these emboli fired towards a tissue with ischemia tolerance capacity. If these emboli had been directed toward the central nervous system, this patient would have experienced devastating complications and even death.

Conclusion This presentation opens the debate on the timing of surgical intervention in myxoma patients.

Availability of Data and Material

The raw data supporting the conclusions of this study will be made available by the authors without undue reservation to any qualified researcher.


Ethical Approval

The patient signed informed consent related to the clinical course; therefore, the Institutional Review Board was waived due to the retrospective nature of the educational case report.


Authors' Contributions

All authors writing this article contributed to the care, diagnosis, and treatment of this patient.




Publikationsverlauf

Eingereicht: 02. Februar 2024

Angenommen: 29. Oktober 2024

Artikel online veröffentlicht:
24. Dezember 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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