A Case Report of Atrial Myxoma in the Time of Corona Presenting with Systemic Embolization
Dubai Medical Journal
; 2022.
Article
in English
| EMBASE | ID: covidwho-1799161
ABSTRACT
Myxomas are very rare intracardiac benign tumors. They can arise in any of the cardiac chambers, although 75% occur in the left atrium. Atrial myxomas (AMs) show a female predominance with a sex ratio of 31. There is a diversity in the clinical presentation;it may resemble many cardiovascular or systemic diseases. Furthermore, it is possible to present as an acute upper or lower limb ischemia or organ infarction due to systemic emboli. Hereby, we report a previously healthy 38-year-old male, who presented to the emergency department with acute pain of both lower limbs, unilateral upper limb, and acute abdomen. A bedside transthoracic echocardiogram was done which showed a mass that was confirmed to be an AM. The patient underwent surgical embolectomy and tumor resection. As this tumor is rare, the duration between the onset of symptoms to finally reaching the correct diagnosis is usually prolonged, and meanwhile, the patient can experience irreversible neurological damage or even death. Hence, we would like to highlight the role of echocardiogram in detecting AMs. In addition, excluding the primary cause of the thrombi, the patient's ischemic pain has a spectrum of differential diagnosis ranging from peripheral vascular disease to COVID-19. We would also like to emphasize the importance of a high index of suspicion by emergency physicians when such cases present.
acute abdomen; acute limb ischemia; adult; article; artificial embolization; cancer surgery; cardiovascular disease; case report; clinical article; coronavirus disease 2019; diagnosis; differential diagnosis; echocardiography; emergency physician; emergency ward; heart atrium myxoma; human; infarction; leg ischemia; lower limb; male; nervous system injury; peripheral vascular disease; surgery; surgical embolectomy; systemic disease; thrombus; transthoracic echocardiography; upper limb
Full text:
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Collection:
Databases of international organizations
Database:
EMBASE
Type of study:
Case report
Language:
English
Journal:
Dubai Medical Journal
Year:
2022
Document Type:
Article
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