[Intracardiac myxoma complicated by acute aortic occlusion (case report)].
We report the case for a 44-year-old patient without medical history, admitted in our department for bilateral acute limb ischemia (H6). The patient was hemodynamically stable and the physical examination shows limb sever ischemia (no femoral arterial pulses, coldness, cyanosis and paralysis). Abdominal CT angiography showed a complete occlusion of the infra renal abdominal aorta compatible with embolus. An embolectomy with Fogarty catheters was performed. Echocardiography showed a mass in the left atrium. Pathological examination of the material embolic confirmed the diagnosis of the cardiac myxoma. The clinical course was marked by the development of a sever syndrome of revascularization, death occurred the third day of hospitalization. Cardiac myxomas are the most common primary cardiac tumor. The mobility of the tumor and its gelatinous and crumbly consistency generates peripheral emboli.
Service de chirurgie vasculaire, CHU Hassan II, route Sidi-Hrazem, Fès, Maroc. Electronic address: dr.massawi@gmail.com.
O
O
Zizi
Service de chirurgie vasculaire, CHU Hassan II, route Sidi-Hrazem, Fès, Maroc.
B
B
Benfor
Service de chirurgie vasculaire, CHU Hassan II, route Sidi-Hrazem, Fès, Maroc.
H
H
Jiber
Service de chirurgie vasculaire, CHU Hassan II, route Sidi-Hrazem, Fès, Maroc.
A
A
Bouarhroum
Service de réanimation polyvalente A4, CHU Hassan II, route Sidi-Hrazem, Fès, Maroc.
S
S
Benlamkaddem
Service de réanimation polyvalente A4, CHU Hassan II, route Sidi-Hrazem, Fès, Maroc.
N
N
Kanjaa
D000208:Acute Disease; D000328:Adult; D000792:Angiography; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging; D001157:Arterial Occlusive Diseases / Q000209:etiology*; D004452:Echocardiography; D017128:Embolectomy / Q000295:instrumentation*; D017809:Fatal Outcome; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000473:pathology; D006338:Heart Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D009232:Myxoma / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed
Aorta; Aorte; Myxoma; Myxome; Occlusion