Left atrial myxoma embolus to the renal artery: should a nephrectomy be advised? uri icon

Overview

abstract

  • Cardiac myxoma represents the most common primary cardiac tumor, which accounts for 75% of all benign cardiac tumors. Embolization is a well-known hazard of myxoma and can be a presenting feature. Resection is generally recommended for cardiac myxomata; once identified but less understood is what to do with systemic emboli. Although extremely uncommon, the literature contains a number of examples of metastatic myxomata with active growth at the site of embolic implantation, with most cases being cerebral. We present an unusual case of embolic occlusion of the right renal artery from a left ventricular myxoma. Excision of the tumor required cardiac autotransplantation and mitral valve replacement. Subsequent right nephrectomy revealed renal artery occlusion with pathologically viable myxoma tissue.

publication date

  • July 1, 2010

Research

keywords

  • Heart Neoplasms
  • Myxoma
  • Neoplastic Cells, Circulating
  • Nephrectomy
  • Renal Artery Obstruction
  • Vascular Neoplasms

Identity

Scopus Document Identifier

  • 77953551225

Digital Object Identifier (DOI)

  • 10.1016/j.athoracsur.2009.11.059

PubMed ID

  • 20609801

Additional Document Info

volume

  • 90

issue

  • 1