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A Case of Acute Limb Ischemia Secondary to Cardiac Myxoma Embolus
Anan Tawil, MBBS1, Mohamed Mohamed, BA2, Mark Mattos, MD3.
1Michigan Vascular Center/MSU, Flint, MI, USA, 2Michigan State University, Flint, MI, USA, 3Michigan Vascular Center, Flint, MI, USA.

Normal 0 false false false EN-US JA X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:12.0pt; font-family:Cambria; mso-ascii-font-family:Cambria; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Cambria; mso-hansi-theme-font:minor-latin;} A Case of Acute Limb Ischemia Secondary to Cardiac Myxoma Embolus Background: Cardiac myxomas are very rare with an incidences of 0.03%. most commonly found in the left atrium. It has no specific clinical manifestation or physical exam findings, but might present with an extra-cardiac manifestation, most commonly as a tumor emboli. Case: We present the case of a 55-year-old man who presented with an acute limb ischemia secondary to an emboli, surgical exploration and embolectomy was performed. Further investigation revealed a left atrial mass. The pathological evaluation of his thrombus revealed a myxoma embolus. Methods: A comprehensive search of PubMed was conducted from 1979 to 2017 using the following keywords: “atria OR atrial OR atrium” AND “myxoma” AND “leg or limb or extremity.” Species was limited to humans and language was limited to English. Titles and abstracts were screened by a single investigator and collected in a spread sheet. Conclusion: Tumor embolus secondary to atrial myxoma is a rare. It is to be suspected in young healthy individuals with no acute onset ischemia secondary to an embolic events.

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