Acute Leriche Syndrome due to Embolisation of an Atrial Myxoma

Karen Peeters, 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.