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Emergency presentation of emboli to multiple sites from an atrial myxoma.
MedLine Citation:
PMID:  22672175     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
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.
Authors:
Gordon Michael Nicholls; Garry Clearwater
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Emergency medicine Australasia : EMA     Volume:  24     ISSN:  1742-6723     ISO Abbreviation:  Emerg Med Australas     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-06-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101199824     Medline TA:  Emerg Med Australas     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  336-8     Citation Subset:  IM    
Copyright Information:
© 2012 The Authors. EMA © 2012 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.
Affiliation:
Emergency Department, Auckland City Hospital, Auckland District Health Board Emergency Department, North Shore Hospital, Waitemata District Health Board, Auckland, New Zealand.
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