Biatrial myxoma and multiple organ infarctions combined with Leriche syndrome in a female patient

BMC Cardiovascular Disorders

Case Report

Hyuck Kim¹  Young-Hyo Lim²  Seung Yeon Min²  Kyung-Soo Kim²  Jinho Shin²  Hyung Tak Lee² 

[1] Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University, Seungdong-Gu, Heangdang-Dong 17, 133-070, Seoul, South Korea;Division of Cardiology, Department of Internal Medicine, College of Medicine, Hanyang University, Seungdong-Gu, Heangdang-Dong 17, 133-070, Seoul, South Korea;

关键词: Myxoma;    Heart atria;    Cerebrovascular accident;    Leriche syndrome;    Echocardiography;   

DOI  :  10.1186/1471-2261-14-175

 received in 2014-08-06, accepted in 2014-11-26,  发布年份 2014

来源: Springer

【 摘 要 】

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.

【 授权许可】

Unknown   
© Min et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.