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Cilioretinal Artery Occlusion as the Presenting Manifestation of Left Atrial Myxoma
Journal article   Peer reviewed

Cilioretinal Artery Occlusion as the Presenting Manifestation of Left Atrial Myxoma

Tahreem A Mir, Marez M Megalla, John H Sinard and Jay C Wang
Journal of vitreoretinal diseases (Print), Vol.6(4), pp.320-323
07/01/2022
DOI: 10.1177/24741264211034114
PMCID: PMC9976024
PMID: 37007931

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Abstract

This work reports a case of left atrial myxoma presenting with cilioretinal artery occlusion. A case report is discussed. A 57-year-old man was referred for acute vision loss in the left eye after a workup including electrocardiogram, magnetic resonance imaging of the brain without contrast, computed tomography angiography of the head and neck, erythrocyte sedimentation rate, and C-reactive protein had negative results. Examination revealed cilioretinal artery occlusion with visible emboli. Because an echocardiogram was not performed, the patient was referred to the emergency department. Echocardiogram revealed a large left atrial mass prolapsing into the left ventricle. The mass was excised, and pathology showed myxoma. This is the first case to our knowledge of isolated cilioretinal artery occlusion as the initial presentation of an atrial myxoma. Thorough and complete workup was crucial to averting further morbidity and mortality.
echocardiogram atrial myxoma cilioretinal artery occlusion

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