An unusual case of mesenteric ischemia in a patient with cardiac myxoma

Baztarrica, Gabriel Pérez; Bornancini, Norberto; Salvaggio, Flavio; Porcile, Rafael

doi:10.1016/j.repc.2012.11.010

Cited by 5 publications

(2 citation statements)

References 7 publications

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“…Only 2 reports have described embolization of a cardiac tumor to the small bowel. 7 , 8 The distinguishing feature in our case is the matching histology of the SMA tumor embolus and the excised cardiac tumor, showing a rare, undefined cardiac sarcoma. Matching biopsies to confirm embolization were unavailable in prior case reports.…”

Section: Discussionmentioning

confidence: 60%

Acute Mesenteric Ischemia Caused by Rare Cardiac Tumor Embolus

Clores

Monzur

Rajapakse

2015

ACG Case Reports Journal

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Acute mesenteric ischemia (AMI) is a rare vascular emergency associated with a high mortality rate. The most common cause of AMI is cardiac emboli from thrombi associated with atrial fibrillation or following myocardial infarction. We present a case of AMI caused by a unique source of emboli, confirmed as an embolization of a cardiac sarcoma to the small bowel by matching biopsies obtained from the superior mesenteric artery (SMA) and the embolic source.

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Section: Discussionmentioning

confidence: 60%

Acute Mesenteric Ischemia Caused by Rare Cardiac Tumor Embolus

Clores

Monzur

Rajapakse

2015

ACG Case Reports Journal

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“…Symptoms related to peripheral embolism are experienced in 2–15% of cases. Cases of mesenteric embolism are extremely rare 2. Retrospective studies have shown that histological cardiac tumour is an independent predictor of an embolic event.…”

Section: Descriptionmentioning

confidence: 99%

Superior mesenteric artery occlusion as the manifestation of left atrial myxoma: an extremely rare occurrence

et al. 2016

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DESCRIPTIONA 62-year-old woman was presented to the surgical ward, with severe abdominal pain and vomiting. She had sinus tachycardia (135/min) and her blood pressure was 80/60 mm Hg. The physical examination revealed generalised abdominal distension with signs of peritonitis. Laboratory parameters revealed polymorphonuclear leucocytosis (total leucocyte count of 21 000/mm 3 with 88% neutrophils), blood urea nitrogen=74 mg/dL and serum creatinine=2.1 mg/dL. X-ray of the abdomen showed air under the diaphragm. CT angiography revealed absence of contrast beyond the mid segment of the superior mesenteric artery (SMA) (figure 1). A large filling defect was noted in the left atrium (LA) on CT scan (figure 2). Echocardiogram also demonstrated a large 3.1×3.2 cm rounded, mobile mass in the left atrium, which was heterogeneous in echogenicity ( figure 3A). It was attached to the interatrial septum in the region of the fossa ovalis. The LA appendage was clear ( figure 3B). Neither mitral valve nor left ventricle showed underlying disease.These features were supportive of a diagnosis of cardiac myxoma, instead of a thrombus. Unfortunately, the condition of the patient continued to deteriorate and she succumbed to sepsis. Relatives refused an autopsy, so histopathological

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