Acute ischemia in upper limb secondary to myxoma.

Cardiac tumors are an unusual cause of acute limb ischemia. Myxomas are the most frequent benign tumors and most are symptomatic. Embolization occurs in 30% to 40% of patients with myxomas, with cerebral arteries being the most common destination. We present the case of a 73-year-old woman with a history of hypertension who came to the emergency department due to pain and sudden onset of coldness in the left limb, which developed over 3 h. On examination, she had a brachial pulse in the bicipital groove, without distal pulse or deficits in sensitivity and motility. Cardiac auscultation was normal and the electrocardiogram showed no abnormalities in rhythm, just an incomplete blockage of the right branch. With the diagnosis of acute limb ischemia, the patient was urgently operated on. A thrombectomy of the brachial, radial, and Figure 2. Image of the transthoracic echocardiogram that shows a tumor attached to the septum prolapsing into the ventricle.