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Updated: Aug 14, 2025

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
Concomitant Multiple Coronary Artery Embolizations and Bilateral Lower Limb Ischemia due to Dislodged Left Atrial
Mehmet Koray Adali1, Ipek Buber1
1Department of Cardiology, Faculty of Medicine, Pamukkale University, Denizli, Turkey.
Insights
Diagnosing heart masses is difficult. A vanishing left atrial mass led to a heart attack and limb ischemia, highlighting diagnostic challenges and potential embolic complications.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Pathology
Background:
- Intracardiac masses present diagnostic challenges, often confused with thrombi.
- Embolic complications from cardiac masses can be fatal.
Abstract:
The differential diagnosis of intracardiac masses is challenging. Cardiac myxomas are benign primary heart tumors and most often are confused with thrombi in diagnosis. In some cases, the embolic complication of intracardiac masses can be fatal. We present a patient who had two nightmare complications simultaneously. A mobile left atrial mass detected and decided surgical excision. But the mass had vanished one day after and caused ST-elevation myocardial infarction (STEMI) and bilateral lower limb ischemia.
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