| A Case of Metastatic Left Ventricular
Tumor Causing Acute Lower Limb Embolisms |
(Department of Cardiovascular Surgery, Memorial
Heart Center, Iwate Medical University, Morioka, Japan, Emory
Crawford Long Hospital*, NE Atlanta, U.S.A. and Department of
Cardiovascular Surgery, Nakadori General Hospital**, Akita, Japan)
| Toshinobu Kazui |
Hajime Kin* |
Yoshiyuki Kamigaki** |
| Tadashi Okubo** |
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A 76-year-old man was admitted complaining
of sudden right lower limb pain. Echocardiography showed occlusion
of the right femoral artery. He underwent thrombectomy and regained
his lower limb circulation. Two days after the operation, the
patient suffered cardiopulmonary arrest. He was resuscitated
and immediately after the resuscitation, echocardiography revealed
a left ventricular mass that almost fell into the left ventricular
out-flow tract. Emergency surgery was performed to remove the
mass. Pathological testing showed that the mass was a metastatic
transitional carcinoma. Fourteen days after the open-heart surgery,
the patient suddenly developed left lower limb pain. We performed
an emergency thrombectomy so that limb perfusion could recover
quickly. The pathological diagnosis was embolism from a tumor
of the left ventricle. His postoperative progress was rapid and
he died 23 days after the open-heart surgery.
Jpn. J. Cardiovasc. Surg. 33: 68 -71 (2004) |
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