Gordon Michael Nicholls, MBChB, FACEM, Emergency Medicine Physician; Garry Clearwater, MBChB (Auck), FACEM, Emergency Medicine Specialist.
Emergency presentation of emboli to multiple sites from an atrial myxoma
Article first published online: 3 JUN 2012
© 2012 The Authors. EMA © 2012 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine
Emergency Medicine Australasia
Volume 24, Issue 3, pages 336–338, June 2012
How to Cite
Nicholls, G. M. and Clearwater, G. (2012), Emergency presentation of emboli to multiple sites from an atrial myxoma. Emergency Medicine Australasia, 24: 336–338. doi: 10.1111/j.1742-6723.2012.01534.x
- Issue published online: 3 JUN 2012
- Article first published online: 3 JUN 2012
- Accepted 21 December 2011
- heart neoplasms;
- myocardial infarction;
A middle aged man presented to our ED with back pain and confusion, had evidence of acute arterial insufficiency to his lower limbs and myocardial infarction on initial ECG. His workup included an urgent CT, which revealed a filling defect in his dilated left atrium, renal and splenic infarcts, and an embolism in his left internal iliac artery. Urgent embolectomy and fasciotomy could not save his left lower limb, and emergency cardiac surgery was required to excise an atrial myxoma. A brief narrative review of the literature is also presented, with this case being unusual in causing such widespread concurrent multiple organ damage, including stroke and myocardial infarct.