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ARTICLE |

Arterial Embolus: Title and subTitle BreakManifestation of Unsuspected Myxoma FREE

Joseph R. Thompson, MD; Charles R. Simmons, MD
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Reprint requests to Loma Linda University School of Medicine, Loma Linda, CA 92354 (Dr. Thompson).


JAMA. 1974;228(7):864-865. doi:10.1001/jama.1974.03230320034025
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Right internal carotid and left brachial arterial occlusions resulting from left atrial myxoma occurred in the absence of cardiac findings to explain the embolization. Following surgical removal of the myxomatous emboli, a cardiac source was suspected, and therefore, cardiac surgery was performed. A small, irregular tumor base was found in the left atrium, but no morphologic heart abnormalities were present. When nonfatal arterial emboli occur, even in the presence of a normal cardiac evaluation, an aggressive angiographic and surgical search for the cause may prevent future fatal embolization due to primary cardiac myxoma.

(JAMA 228:864-865, 1974)

REFERENCES

New PFJ, Price DL, Carter B:  Cerebral angiography in cardiac myxoma . Radiology 96:335-345, 1970;.
Silverman J, Oliven JS, Graettinger, JS:  Cardiac myxomas with systemic embolization . Circulation 26:99-103, 1962;.
Mandel MM, Strimel WH, Jr:  Ventricular myxoma associated with cerebral embolism . JAMA 214:2154-2156, 1970;.
Wight RP, McCall MM, Wenger NK:  Primary atrial tumor . Am J Cardiol 11:790-797, 1963;.

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New PFJ, Price DL, Carter B:  Cerebral angiography in cardiac myxoma . Radiology 96:335-345, 1970;.
Silverman J, Oliven JS, Graettinger, JS:  Cardiac myxomas with systemic embolization . Circulation 26:99-103, 1962;.
Mandel MM, Strimel WH, Jr:  Ventricular myxoma associated with cerebral embolism . JAMA 214:2154-2156, 1970;.
Wight RP, McCall MM, Wenger NK:  Primary atrial tumor . Am J Cardiol 11:790-797, 1963;.
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