Journal de médecine vasculaire et de chirurgie

Abstrait

Acute Leriche Syndrome due to Embolisation of an Atrial Myxoma

Peeters K, Avet J, Daenen G, Stabel P, Bronckaers M, Rega F, Bekaert I and Van Reet B

The presentations of cardiac myxoma are diverse, from asymptomatic to a variety of symptoms due to embolisation. Total occlusion of the abdominal aorta due to embolisation of an atrial myxoma is a rare but lifethreatening event which demands an urgent diagnosis and prompt intervention with embolectomy. In this paper a patient with acute onset paraplegia is presented. CT angiography revealed a large totally occlusive thrombus in the infrarenal abdominal aorta extending into the common iliac arteries. A thrombus in the left atrium was identified as the source of the embolus.