Cor Vasa 2017, 59(5):e481-e484

Acute arterial occlusions of the extremities as only one manifestation of cardiac myxoma

František Nehaj^a, Michal Mokáň^a, Juraj Sokol^b,*, Stanislav Mizera^c, Michal Hulman^c, František Kovář^a, Marián Mokáň^a

^a I. interná klinika, Jesseniova lekárska fakulta v Martine, Univerzita Komenského v Bratislave, Martin, Slovenská republika

^b Klinika hematológie a transfuziológie, Národné centrum hemostázy a trombózy, Jesseniova lekárska fakulta v Martine, Univerzita Komenského v Bratislave, Martin, Slovenská republika

^c Národný ústav srdcovocievnych ochorení, Bratislava, Slovenská republika

Cardiac myxoma is the most common benign tumor of the heart that occurs in adult population. It can cause several specific and nonspecific symptoms, especially depending on localization and size of the tumor. The disease may take many months and years being unrecognized and asymptomatic. The echocardiography is the golden standard in diagnostic process of cardiac tumors, but in many cases the finding is incidental and the diagnosis is often challenging. We present a case report of the left atrial myxoma manifesting with multiple acute limb ischemia. After urgent thrombectomy and embolectomy a sample of thrombus was sent for histology. The conclusion was the benign tumor of the heart. The coronary catheterization showed two critical stenoses on RIA and chronic occlusion of RCA. The patient was indicated for incomplete revascularization and the extirpation of the cardiac tumor. The patient three months after the surgery is with no signs of tumor on echocardiogram.

Keywords: Acute limb ischemia; Coronary artery bypass grafting; Left heart atrium; Myxoma; Stenosis

Received: July 1, 2016; Revised: July 20, 2016; Accepted: August 2, 2016; Published: October 1, 2017  Show citation