• Gabriel Pérez Baztarrica, Norberto Bornancini, Flavio Salvaggio, and Rafael Porcile.
• Departament of Cardiology and Physiology, Hospital of the Universidad Abierta Interamericana, Faculty of Medicine, Buenos Aires, Argentina. gpbaztarrica@yahoo.com
• Rev Port Cardiol. 2013 Jul 1;32(7-8):609-12.

AbstractSymptoms related to peripheral embolism are experienced in 2%-15% of cases of cardiac myxoma. We present a rare case of a 54-year-old man admitted due to sudden abdominal pain. A computed tomography (CT) scan showed occlusion of the superior mesenteric artery (SMA). As the patient's response to support treatment was favorable, a non-invasive approach was adopted, with prescription of oral anticoagulation (OAC) therapy. Transesophageal echocardiography revealed a tumor in the left atrium. The cardiac mass was completely removed and diagnosed as myxoma by histopathological analysis. As periodic CT scans showed progressive improvement of blood flow through the SMA, OAC was continued. OAC may have been beneficial due to the nature of emboli originating from a cardiac myxoma: thrombi covering the surface of the tumor. At present, there is no explanation in the literature for the benefits of OAC in patients with embolism associated with cardiac myxoma.Copyright © 2012 Sociedade Portuguesa de Cardiologia. Published by Elsevier España. All rights reserved.

15 keywords...

hide…