TY - JOUR
T1 - Left Atrial Myxoma Embolus to the Renal Artery
T2 - Should a Nephrectomy Be Advised?
AU - Blackmon, Shanda H.
AU - Kassis, Edmund S.
AU - Ge, Yimin
AU - Goldfarb, Rick
AU - Reardon, Michael J.
PY - 2010/7/1
Y1 - 2010/7/1
N2 - 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.
AB - 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.
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U2 - 10.1016/j.athoracsur.2009.11.059
DO - 10.1016/j.athoracsur.2009.11.059
M3 - Article
C2 - 20609801
AN - SCOPUS:77953551225
VL - 90
SP - 289
EP - 292
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
SN - 0003-4975
IS - 1
ER -