Korean J Ophthalmol.  2017 Feb;31(1):88-89. 10.3341/kjo.2017.31.1.88.

Central Retinal Artery Occlusion by Left Atrial Myxoma

Affiliations
  • 1Department of Ophthalmology, Kyungpook National University School of Medicine, Daegu, Korea. itkim@knu.ac.kr

Abstract

No abstract available.


MeSH Terms

Myxoma*
Retinal Artery Occlusion*
Retinal Artery*

Figure

  • Fig. 1 (A) Fundus photograph of the left eye shows retinal artery attenuation and a cherry-red spot. (B) Optical coherence tomography shows severe edema in the macula. (C) Fluorescein angiography of the left eye shows a delay in arterial filling at 5 minutes 37 seconds. (D) Brain diffusion-weighted magnetic resonance imaging shows acute multiple signal changes (red arrow) in the left middle cerebral artery territory. (E) Contrast-enhanced chest computed tomography scan shows a heterogeneous mass (red arrow) with fluid density in the left atrium. (F) Section from excised tissue shows CD31 positivity in the abundant blood vessels (red arrow), original magnification ×100. (G,H) Follow-up fundus photograph and optical coherence tomography show atrophy of macula and optic disc.


Reference

1. Varma DD, Cugati S, Lee AW, Chen CS. A review of central retinal artery occlusion: clinical presentation and management. Eye (Lond). 2013; 27:688–697.
2. O'Rourke F, Dean N, Mouradian MS, et al. Atrial myxoma as a cause of stroke: case report and discussion. CMAJ. 2003; 169:1049–1051.
3. Pucci A, Gagliardotto P, Zanini C, et al. Histopathologic and clinical characterization of cardiac myxoma: review of 53 cases from a single institution. Am Heart J. 2000; 140:134–138.
4. Rafuse PE, Nicolle DA, Hutnik CM, Pringle CE. Left atrial myxoma causing ophthalmic artery occlusion. Eye (Lond). 1997; 11(Pt 1):25–29.
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