Emboli caused by cardiac myxomas mostly occur in the cardiovascular or cerebrovascular systems and rarely in the lower extremity vasculature. In this report a rare case of a patient with left atrial myxoma (LAM) whose right lower extremity (RLE) suffered from acute ischemia due to tumor fragments is introduced. In this case a 81-year-old female presented with acute ischemia of RLE is reported. Color Doppler ultrasound showes no blood flow signal far from the RLE femoral artery. Computed tomography angiography shows an occlusion of the right common femoral artery. A transthoracic echocardiogram reveals a left atrial mass. Femoral artery embolectomy is performed, followed by thoracotomy with tumor resection under general anesthesia on postoperative day seven. The tumor is pathologically confirmed as an atrial myxoma. Read the full article here.
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