ArticleCureus2026
Bilateral Renal Infarction as the Initial Manifestation of Left Atrial Myxoma During Early Pregnancy: A Case Report.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
Cardiac myxoma during pregnancy is exceptionally rare and may present with systemic embolisation. A 25-year-old woman at six weeks and five days of gestation presented with persistent central abdominal pain radiating to both flanks. Laboratory investigations showed elevated C-reactive protein (CRP) and lactate dehydrogenase (LDH) levels, while renal function and urinalysis were unremarkable. Non-contrast abdominal magnetic resonance imaging (MRI) demonstrated bilateral renal infarctions. Transthoracic echocardiography subsequently identified a large, mobile, pedunculated left atrial mass, and cardiovascular magnetic resonance (CMR) showed an atypical attachment to the Coumadin ridge. Following multidisciplinary counselling regarding maternal and foetal risks, the patient chose termination of pregnancy followed by surgical resection. Histopathological examination confirmed a left atrial myxoma. The postoperative course was favourable, with preserved renal function and no tumour recurrence on 10-month echocardiographic follow-up. This case highlights bilateral renal infarction as an uncommon initial manifestation of cardiac myxoma and the importance of considering a cardiac embolic source in unexplained visceral infarction during pregnancy.
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