Blue toe syndrome: a rare presentation of atrial myxoma

Blue toe syndrome is a condition in which patient presented with cyanotic toe caused by fibrino-platelet micro-emboli occlusion of the small digital arteries while atrial myxoma is the most common primary cardiac tumour. Most patients with atrial myxoma present with emboli to blood vessel of the bra...

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Bibliographic Details
Main Authors: Ab. Rahman, Norhafiza, Othman, Ahmad Faidzal, Awang, Ahmad Khadri
Format: Conference or Workshop Item
Language:English
English
Published: 2014
Subjects:
Online Access:http://irep.iium.edu.my/36804/
http://irep.iium.edu.my/36804/
http://irep.iium.edu.my/36804/1/CSAMM2014_BlueToe159.pdf
http://irep.iium.edu.my/36804/2/blue_toe.pdf
Description
Summary:Blue toe syndrome is a condition in which patient presented with cyanotic toe caused by fibrino-platelet micro-emboli occlusion of the small digital arteries while atrial myxoma is the most common primary cardiac tumour. Most patients with atrial myxoma present with emboli to blood vessel of the brain causing ischaemic stroke. We report a case of a 37 year old gentleman who presented with blue toe syndrome affecting right second and fourth toes without any symptoms and signs of cardiac insufficiency or other embolus elsewhere. Further investigation and echocardiography revealed a mass over the left atrium that lead to the provisional diagnosis of atrial myxoma. He underwent excision of the left atrial myxoma with repair of interatrial septum within the same admission. Surgery was uneventful and he was discharged home well.