Emergency presentation of emboli to multiple sites from an atrial myxoma
Emergency Medicine Australasia, 06/26/2012
Nicholls GM et al. – A middle aged man presented to the 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.