Left atrial myxoma embolus to the renal artery: should a nephrectomy be advised?
Cardiac myxoma represents the most common primary cardiac tumor, which accounts for 75% of all benign cardiac tumors. Embolization is a well-known hazard of myxoma and can be a presenting feature. Resection is generally recommended for cardiac myxomata; once identified but less understood is what to do with systemic emboli. Although extremely uncommon, the literature contains a number of examples of metastatic myxomata with active growth at the site of embolic implantation, with most cases being cerebral. We present an unusual case of embolic occlusion of the right renal artery from a left ventricular myxoma. Excision of the tumor required cardiac autotransplantation and mitral valve replacement. Subsequent right nephrectomy revealed renal artery occlusion with pathologically viable myxoma tissue.
Blackmon
Shanda H
SH
Department of Surgery, The Methodist Hospital, Houston, Texas 77030, USA. shblackmon@tmhs.org
Kassis
Edmund S
ES
Ge
Yimin
Y
Goldfarb
Rick
R
Reardon
Michael
M
D006348:Cardiac Surgical Procedures; D006338:Heart Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D009232:Myxoma / Q000473:pathology / Q000601:surgery*; D009360:Neoplastic Cells, Circulating / Q000473:pathology*; D009392:Nephrectomy; D012077:Renal Artery / Q000473:pathology / Q000601:surgery; D012078:Renal Artery Obstruction / Q000209:etiology / Q000601:surgery*; D012092:Replantation; D019043:Vascular Neoplasms / Q000556:secondary / Q000601:surgery*; D055815:Young Adult