751. [Simultaneous occlusion of the abdominal aorta and both internal carotid arteries as the presenting symptoms of left atrial myxoma].
- Author
-
Corneloup L, Planchard D, Demarque C, Hira M, Frat JP, Goujon JM, and Robert R
- Subjects
- Aorta, Abdominal pathology, Aortic Diseases pathology, Arterial Occlusive Diseases pathology, Carotid Artery Diseases pathology, Carotid Artery, Internal pathology, Coma etiology, Coronary Disease diagnosis, Coronary Disease pathology, Heart Atria pathology, Heart Neoplasms diagnosis, Humans, Ischemia etiology, Male, Middle Aged, Myxoma diagnosis, Pulmonary Edema etiology, Aortic Diseases etiology, Arterial Occlusive Diseases etiology, Carotid Artery Diseases etiology, Coronary Disease etiology, Heart Neoplasms complications, Myxoma complications
- Abstract
Myxoma is a benign tumour but which has redoubtable embolic complications. When situated in the left atrium, the emboli obstruct, in the majority of cases, the cerebral arteries, occasionally the visceral or coronary arteries, and, very rarely, the aorta. In this case, the authors report an atypical presentation with ischaemia of the lower half of the body, associated with pulmonary oedema and deep coma. The left atrial myxoma was responsible for complete and simultaneous obstruction of the internal carotid arteries and the infra-renal abdominal aorta. This report illustrates the fact that myxoma can be responsible for massive, life-threatening, embolisation.
- Published
- 2001