Left ventricular myxomas are rare cardiac tumors, particularly in pediatric patients and their presentation with acute lower limb ischemia is exceptionally uncommon. We present a case of a giant left ventricular myxoma causing acute lower limb ischemia in a pediatric patient. A 10-yearold male presented with sudden-onset severe left lower limb pain and cyanosis. Imaging revealed a large mass obstructing the left ventricular outflow tract, causing compromised blood flow to the lower extremities. Urgent surgical intervention was performed to resect the myxoma and restore perfusion to the lower limbs. Histopathological examination confirmed the diagnosis of a left ventricular myxoma. This case highlights the importance of considering cardiac tumors in the differential diagnosis of acute limb ischemia, particularly in pediatric patients and underscores the need for prompt recognition and surgical intervention to prevent limb-threatening complications.
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