Journal of the Korean Society for Vascular Surgery  1999;15(2):332-337

The Occlusions of both Femoral Artery Bifucations by Myxomas: A case report.

Ho Jin JUN 1 ; Jong Kwon PARK ; Jin Woo RYU ; Min CHUNG ; Dong Kook PARK ; Jung Taik KIM

Affiliations

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Keywords

Femoral artery occlusion; Myxoma

Country

Republic of Korea

Language

Korean

Abstract

We describe a patient with an unusual cause of the occlusions of both femoral arteries by myxomas. A 41-year-old man presented with sudden onset of both leg pain and paresthesia. His hematological and cardiological status was normal. Lower peripheral angiography was performed and demonstrated thrombotic occlusion, both common femoral artery and superficial femoral and proximal portion of deep femoral artery. He was successfully treated with surgical and forgaty catheter extraction. Histologic finding was myxoma probably from cardiac origin. Cardiac investigations to determine the source of the myxoma, including 2-D echocardiography and Transesophageal echocardiogram (TEE) of the heart, failed to demonstrate residual myxoma in heart. No residual tumor or potential source of the tumor was found. The cause of both leg pain was the occlusions of the both common femoral arteries by myxomas. An entire cardiac tumor might have embolized with no detectable residual tumor in the heart; alternatively a myxoma might have originated as a primary tumor in the femoral artery.