{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T17:36:09Z","timestamp":1761845769961,"version":"3.44.0"},"reference-count":58,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,11,18]]},"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:p>Acute limb ischaemia (ALI) secondary to cardiac myxoma is uncommon. Embolic myxoma should be considered a differential diagnosis in young patients with ALI who do not have apparent cardiovascular risk factors. A multidisciplinary approach and comprehensive care can improve outcomes and optimise the collaborative treatment of ALI. Early referral to a hospital that can provide specialised treatment for ALI helps prevent significant tissue loss and surgical complications, such as amputation.<\/jats:p>\n               <jats:p>A man in his 20s presented with bilateral ALI of both lower extremities, and an arterial duplex scan revealed a thrombus occluding all arterial segments of the bilateral lower extremities. An intracardiac mass adherent to the apical and anterior interventricular septum on two-dimensional echocardiography suggested a complex myxoma. The patient was diagnosed with ALI Rutherford category III, and bilateral hip disarticulation was performed. The patient was discharged with an anticoagulant.<\/jats:p>","DOI":"10.1136\/bcr-2023-254934","type":"journal-article","created":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T12:20:31Z","timestamp":1701433231000},"page":"e254934","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Embolism from a left ventricular myxoma presenting with acute limb ischaemia"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5508-0720","authenticated-orcid":false,"given":"Aileen Rufo","family":"Billones","sequence":"first","affiliation":[{"name":"Internal Medicine, Bicol Medical Center, Naga City, Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cindy Ruth","family":"Imperial","sequence":"additional","affiliation":[{"name":"Bicol Medical Center, Naga City, Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maribel","family":"Gutierrez-Cayetano","sequence":"additional","affiliation":[{"name":"Internal Medicine, Bicol Medical Center, Naga City, Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,12,1]]},"reference":[{"key":"2025082804123135000_16.12.e254934.1","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1186\/s13019-017-0640-2","article-title":"Left atrial myxoma complicated with multi-system embolization","volume":"12","author":"Zhang","year":"2017","journal-title":"J Cardiothorac Surg"},{"key":"2025082804123135000_16.12.e254934.2","doi-asserted-by":"crossref","DOI":"10.1186\/1476-7120-7-47","article-title":"Right atrium myxoma coexisting with antiphospholipid syndrome: a case report","volume":"7","author":"Pliakos","year":"2009","journal-title":"Cardiovasc Ultrasound"},{"key":"2025082804123135000_16.12.e254934.3","first-page":"3","article-title":"The role of Interleukin-6 in cases of cardiac myxoma. 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