Acute occlusion of abdominal aorta: unusual embolization site for a cardiac tumor mass.
We report a rare case of complete embolization of a left atrial myxoma resulting in total occlusion of the suprarenal abdominal aorta. A 54-year-old man was admitted to hospital because of acute thoracic pain with paraplegia and acute renal failure. Abdominal computed tomography and angiography showed evidence of total occlusion of the suprarenal aorta. Intraoperatively, the aorta was found to be occluded by a hard neoformation, histologically defined as atrial myxoma. A diagnosis of atrial myxoma should be suspected in young patients suffering from acute thoracic pain and affected by paraplegia and acute renal failure. Early diagnosis may significantly abate the morbidity and mortality rates associated with this condition.
Veroux
Pierfrancesco
P
Department of Surgery and Transplantation, University Hospital of Catania, Italy. mveroux@yahoo.it
Mignosa
Carmelo
C
Veroux
Massimiliano
M
Bartoloni
Giovanni
G
Bonanno
Maria Giovanna
MG
Tumminelli
Maria Giuseppina
MG
D000208:Acute Disease; D058186:Acute Kidney Injury / Q000209:etiology; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000473:pathology*; D001027:Aortography; D003251:Constriction, Pathologic / Q000209:etiology; D003937:Diagnosis, Differential; D006338:Heart Neoplasms / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009232:Myxoma / Q000150:complications* / Q000175:diagnosis*; D009360:Neoplastic Cells, Circulating; D010264:Paraplegia / Q000209:etiology; D014057:Tomography, X-Ray Computed