Left Ventricular Myxoma with Embolization Causes Acute Infrarenal Aortic Occlusion

Abstract

Atrial myxoma is the most common benign tumor of the heart; moreover, atrial myxoma embolization to the peripheral vessels is rare. We present an unusual case of total acute infrarenal aortic occlusion resulting from embolic implantation from a left ventricular myxoma. A 37-year-old man with acute lower limbs ischemia, spinal cord ischemia, and acute renal insufficiency was urgently operated and discharged after surgery.

Keywords

left ventricular myxoma - aortic occlusion - embolization

• References

• 1 McMullin GM, Lane R. A rare cause of acute aortic occlusion. Aust N Z J Surg 1993; 63 (01) 65-68
• 2 Eriksen UH, Baandrup U, Jensen BS. Total disruption of left atrial myxoma causing a cerebral attack and a saddle embolus in the iliac bifurcation. Int J Cardiol 1992; 35 (01) 127-129
• 3 Keeling IM, Oberwalder P, Anelli-Monti M. , et al. Cardiac myxomas: 24 years of experience in 49 patients. Eur J Cardiothorac Surg 2002; 22 (06) 971-977
• 4 Schaff HV, Mullany CJ. Surgery for cardiac myxomas. Semin Thorac Cardiovasc Surg 2000; 12 (02) 77-88
• 5 Gee GT, Bazan III C, Jinkins JR. Imaging of cerebral infarction caused by atrial myxoma. Neuroradiology 1994; 36 (04) 271-272
• 6 Premaratne S, Hasaniya NW, Arakaki HY, Mugiishi MM, Mamiya RT, McNamara JJ. Atrial myxomas: experiences with 35 patients in Hawaii. Am J Surg 1995; 169 (06) 600-603
• 7 Reeder GS, Khandheria BK, Seward JB, Tajik AJ. Transesophageal echocardiography and cardiac masses. Mayo Clin Proc 1991; 66 (11) 1101-1109
• 8 Bhan A, Mehrotra R, Choudhary SK. , et al. Surgical experience with intracardiac myxomas: long-term follow-up. Ann Thorac Surg 1998; 66 (03) 810-813
• 9 Pinede L, Duhaut P, Loire R. Clinical presentation of left atrial cardiac myxoma. A series of 112 consecutive cases. Medicine (Baltimore) 2001; 80 (03) 159-172
• 10 Guntheroth WG, Fujioka MC, Reichenbach DD. Spontaneous resolution of obstructive valvular tumors in infants. Am Heart J 2002; 143 (05) 868-872
• 11 Van der Mieren G, Duchateau J, Herijgers R. Left atrial myxoma: presentation with acute aortic occlusion and ‘resolution’ of the primary tumor. Acta Chir Belg 2007; 107 (06) 687-689
• 12 Wong SS, Roche-Nagle G, Oreopoulos G. Acute thrombosis of an abdominal aortic aneurysm presenting as cauda equina syndrome. J Vasc Surg 2013; 57 (01) 218-220
• 13 Suliman AS, Raffetto JD, Seidman CS, Menzoian JO. Acute thrombosis of abdominal aortic aneurysms--report of two cases and review of the literature. Vasc Endovascular Surg 2003; 37 (01) 71-75
• 14 Chiang JK, Tsai KW, Lin CW, Shen TC, Hu SC, Chen CY. Acute paraplegia as the presentation of aortic dissection – a case report. Tzu Chi Med J 2005; 17 (05) 369-371
• 15 Triantafyllopoulos GK, Athanassacopoulos M, Maltezos C, Pneumaticos SG. Acute infrarenal aortic thrombosis presenting with flaccid paraplegia. Spine 2011; 36 (15) E1042-E1045
• 16 Mcclain RL, Pai SL. Acute aortic occlusion presenting as paraplegia: a catastrophic complication in an elective surgical patient. A A Case Rep 2013; 1 (04) 64-66
• 17 Dominkovic MD, Fila J, Radovic N, Cavka M, Ivanac G, Brkljacic B. Acute aortic occlusion. Med Flumin 2013; 49: 92-97
• 18 Singh D, Pinjala R, Divakar B. Acute aortic occlusion: time to awake, be aware and act. Int J Surg 2006; 9 (01) 1-6