EJMCR. 2020; 4(3): 100-102

Intravascular hemolytic anemia and renal failure caused by myxoma

Authors: Elsa Soares, Patricia Valerio, Catarina Abrantes, Teresa Furtado, Ana Azevedo, Ana Farinha, Jose Assuncao.

ABSTRACT

Background: Cardiac myxoma is the most frequent “benign” tumor of the heart and presents an important diagnostic challenge. Case presentation: A 51-year-old woman was admitted at the hospital for anorexia, fatigue, nausea, and vomiting for the last 10 days. Laboratory results showed hemoglobin 5.26 g/dl, platelets 83× 10^9 μl, Lactate Dehydrogenase (LDH) 348 U/l, bilirubin 2.0 mg/dl, haptoglobin 100 mg/dl, negative Coombs test, blood smear with schistocytes and urea 327 mg/dl, creatinine 8.56 mg/dl. Non-autoimmune hemolytic anemia and acute kidney injury was assumed. After seven plasma exchange treatments, she went into acute pulmonary edema. Body tomography was performed, and revealed a mass in the left atrium. She underwent atriotomy and after surgery hemoglobin values stabilized but kidney function did not improve, and she became dialysis dependent. Conclusion: Myxomas can mimic other diseases which may delay diagnosis and compromise prognosis. In this particular case, the myxoma manifested with intravascular hemolytic anemia. This is an, especially, interesting case because a myxoma caused kidney failure without recovery.

Keywords:
Cardiac tumor, myxoma, embolization, renal failure, hemolytic anemia


View PDF
Intravascular hemolytic anemia and renal failure caused by myxoma


Authors
Elsa Soares
Nephrology Department, Centro Hospitalar de Setubal, Portugal
PubMed articlesGoogle scholar articles

Patricia Valerio
Nephrology Department, Centro Hospitalar de Setubal, Portugal
PubMed articlesGoogle scholar articles

Catarina Abrantes
Nephrology Department, Centro Hospitalar de Setubal, Portugal
PubMed articlesGoogle scholar articles

Teresa Furtado
Nephrology Department, Centro Hospitalar de Setubal, Portugal
PubMed articlesGoogle scholar articles

Ana Azevedo
Nephrology Department, Hospital vila Franca de Xira, Portugal
PubMed articlesGoogle scholar articles

Ana Farinha
Nephrology Department, Centro Hospitalar de Setubal, Portugal
PubMed articlesGoogle scholar articles

Jose Assuncao
Nephrology Department, Centro Hospitalar de Setubal, Portugal
PubMed articlesGoogle scholar articles


Correspondence to:
. Elsa Soares, Nephrology Department, Centro Hospitalar de Setubal, Portugal.; elsa.qsoares@gmail.com

Publication history
Received 24 Oct 2019
Accepted 07 Mar 2020
Published online 22 Mar 2020
Published in print 04 Apr 2020

How to cite this article?

Export to EndNote Export to refMan

Pubmed Style

Soares E, Valerio P, Abrantes C, Furtado T, Azevedo A, Farinha A, Assuncao J. Intravascular hemolytic anemia and renal failure caused by myxoma. EJMCR. 2020; 4(3): 100-102. doi:10.24911/ejmcr/173-1571237973


Web Style

Soares E, Valerio P, Abrantes C, Furtado T, Azevedo A, Farinha A, Assuncao J. Intravascular hemolytic anemia and renal failure caused by myxoma. https://www.ejmcr.com/?mno=69871 [Access: June 03, 2020]. doi:10.24911/ejmcr/173-1571237973


AMA (American Medical Association) Style

Soares E, Valerio P, Abrantes C, Furtado T, Azevedo A, Farinha A, Assuncao J. Intravascular hemolytic anemia and renal failure caused by myxoma. EJMCR. 2020; 4(3): 100-102. doi:10.24911/ejmcr/173-1571237973


Vancouver/ICMJE Style

Soares E, Valerio P, Abrantes C, Furtado T, Azevedo A, Farinha A, Assuncao J. Intravascular hemolytic anemia and renal failure caused by myxoma. EJMCR. (2020), [cited June 03, 2020]; 4(3): 100-102. doi:10.24911/ejmcr/173-1571237973


Harvard Style

Soares, E., Valerio, . P., Abrantes, . C., Furtado, . T., Azevedo, . A., Farinha, . A. & Assuncao, . J. (2020) Intravascular hemolytic anemia and renal failure caused by myxoma. EJMCR, 4 (3), 100-102. doi:10.24911/ejmcr/173-1571237973


Turabian Style

Soares, Elsa, Patricia Valerio, Catarina Abrantes, Teresa Furtado, Ana Azevedo, Ana Farinha, and Jose Assuncao. 2020. Intravascular hemolytic anemia and renal failure caused by myxoma. European Journal of Medical Case Reports, 4 (3), 100-102. doi:10.24911/ejmcr/173-1571237973


Chicago Style

Soares, Elsa, Patricia Valerio, Catarina Abrantes, Teresa Furtado, Ana Azevedo, Ana Farinha, and Jose Assuncao. "Intravascular hemolytic anemia and renal failure caused by myxoma." European Journal of Medical Case Reports 4 (2020), 100-102. doi:10.24911/ejmcr/173-1571237973


MLA (The Modern Language Association) Style

Soares, Elsa, Patricia Valerio, Catarina Abrantes, Teresa Furtado, Ana Azevedo, Ana Farinha, and Jose Assuncao. "Intravascular hemolytic anemia and renal failure caused by myxoma." European Journal of Medical Case Reports 4.3 (2020), 100-102. Print. doi:10.24911/ejmcr/173-1571237973


APA (American Psychological Association) Style

Soares, E., Valerio, . P., Abrantes, . C., Furtado, . T., Azevedo, . A., Farinha, . A. & Assuncao, . J. (2020) Intravascular hemolytic anemia and renal failure caused by myxoma. European Journal of Medical Case Reports, 4 (3), 100-102. doi:10.24911/ejmcr/173-1571237973


Share this article

Click the icon of the social media platform on which you would like to share this article.

Article Statistics

Request permissions

If you wish to reuse any part or all of this article please contact the copyright holder, contact@ejmcr.com.

Copyright © 2018 Discover Publishing Group. All Rights Reserved.