Biatrial myxoma and multiple organ infarctions combined with Leriche syndrome in a female patientReport as inadecuate

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BMC Cardiovascular Disorders

, 14:175

Non-coronary artery cardiac disease


BackgroundMultiple organ infarctions combined with Leriche syndrome due to embolic particles of myxoma are very rare. There is no definite guideline for immediate medical treatment.

Case presentationA 36-year-old married female was referred to the emergency department ED with severe pain of both lower extremities and gradual decreased mental status. Brain magnetic resonance imaging MRI and computed tomography angiography CTA revealed acute multiple organ infarctions including the brain, spleen, and bilateral kidneys combined with Leriche syndrome. To evaluate the embolic source, echocardiography was performed and it revealed biatrial myxoma. Because of the risk of progression in systemic embolic events, surgical excision and embolectomy were performed urgently. After the operation, renal function was recovered, and the pain of both limbs was relieved. However, the visual field defect due to the brain infarction remained. She was discharged uneventfully on the fourteenth postoperative day.

ConclusionThis was an extremely rare case of multiple organ infarctions combined with Leriche syndrome as the initial presentation of biatrial myxoma. The treatment of choice for myxoma is surgical excision, but the optimal timing of operations is still controversial in patients who have had recent neurological insults. Echocardiography was useful to clarify the diagnosis and decide on the proper treatment modality: surgical treatment or thrombolysis.

KeywordsMyxoma Heart atria Cerebrovascular accident Leriche syndrome Echocardiography AbbreviationsEDEmergency department

MRIMagnetic resonance imaging

CTAComputed tomography angiography

LALeft atrium

RARight atrium

MRMitral regurgitation.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2261-14-175 contains supplementary material, which is available to authorized users.

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Author: Seung Yeon Min - Young-Hyo Lim - Hyung Tak Lee - Jinho Shin - Kyung-Soo Kim - Hyuck Kim


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