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Case Reports in Medicine
Volume 2011 (2011), Article ID 159024, 3 pages
http://dx.doi.org/10.1155/2011/159024
Case Report

Systemic Embolization and Myocardial Infarction due to Clinically Unrecognized Left Atrial Myxoma

1Department of Cardiology, Medical University Hospital Heidelberg, Im Neuenheimer Feld 410, 69120 Heidelberg, Germany
2Clinic of Internal Medicine II, University of Ulm, Albert-Einstein-Allee 23, 89081 Ulm, Germany

Received 31 May 2011; Revised 10 September 2011; Accepted 14 September 2011

Academic Editor: André Mégarbané

Copyright © 2011 Britta Vogel et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Myxomas are the most common primary tumors of the heart. We report an extraordinary severe case of left atrial myxoma, presenting with stroke, myocardial infarction, and multiple arterial embolism including aorta, splenic and renal arteries, and several peripheral arteries. The patient had previously been diagnosed with systemic vasculitis, a typical but less common finding caused by multiple emboli mimicking vasculitis. The myxoma was removed and atrial septum reconstruction was performed. In summary, early diagnostic differentiation of myxoma from vasculitis is critical, and immediate surgical removal of myxoma is required as the probability of thromboembolic complications increases over time.