Abstract
A 39-year-old woman presented with acute right leg pain. Computed tomography revealed occlusion of the abdominal aortic bifurcation and right leg arteries. Transthoracic echocardiography showed a mobile left ventricular mass (8 × 30 mm), suspected to be the embolic source. Embolectomy was performed, followed by resection of the giant left ventricular myxoma, confirmed by histology. This rare case of a left ventricular myxoma causing acute aortic and lower extremity occlusion highlights the need for careful consideration of surgical priority and timing in complex embolic events.