Left atrial myxoma is the most common variant of cardiac tumour, rarely
presenting with systemic embolization involving 3 limbs and intra
cranial bleed simultaneously. Our case aims to discuss appropriate
management strategy in such cases. This case presents a 34 year old lady
with acute limb ischemia both lower limb and right upper limb with
intracranial bleed with no signs of congestive heart failure diagnosed
with LA Myxoma on preoperative routine 2d ECHO cardiography. She
underwent embolectomy of right brachial artery and bilateral femoral
artery, common iliac artery and abdominal aorta with excision of LA
Myxoma planned for 4 weeks later. In patients presenting with acute limb
ischemia and intracranial bleed, the definitive surgery of LA myxoma
excision should be postponed for 4 weeks to prevent risk of systemic
heparinisation causing worsening of neurological functions while acute
limb ischemia should be addressed immediately.