Atrial Myxoma   An unusual cause of ischemic stroke in young

Sohal, Ravdeep Singh; Shergill, Khushdeep Kaur; Nagi, Gagandeep; Pillai, Hari Janardanan

doi:10.4322/acr.2020.178

Cited by 6 publications

(1 citation statement)

References 8 publications

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“…Though elevation of erythrocyte sedimentation rate, C-reactive protein with anemia, and hyperglobulinemia is often seen in active illness, magnetic resonance imaging (MRI) of the brain and trans-oesophageal echocardiography are the diagnostic imaging modality of choice [2,8]. These myxomatous emboli can rarely cause aneurysms by infiltrating the vessel walls [9]. Annual follow-up is recommended with echocardiography for three to four years of post-surgical removal due to the chances of recurrence and also to look for metastasis [10].…”

Section: Discussionmentioning

confidence: 99%

Cardioembolic Stroke in Young: A Case of Atrial Myxoma Origin

Salam¹,

Reddy²,

Ganaraja³

et al. 2022

Cureus

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Stroke is one of the leading causes of mortality and disability. It can be rarely caused by cardiac myxoma. Sometimes stroke may be its first clinical manifestation. Here we report a case of posterior circulation stroke in left atrial myxoma. A 45-year-old female patient presented with a history of recurrent episodes of dizziness and headache of three months duration. Neurological examination showed impaired tandem gait. Magnetic resonance imaging (MRI) of the brain revealed infarction in the left posteroinferior cerebellar hemisphere. Echocardiography of the patient revealed a large left atrial mass suggestive of atrial myxoma and an ejection fraction of 60%.The patient was operated on for atrial myxoma two days after the diagnosis, and histopathology confirmed the diagnosis. Postoperatively she remained well and was managed on anti-platelet drugs. Atrial myxoma should be considered as a possible differential while evaluating a case of cardioembolic stroke, and echocardiography detects the presence of an atrial myxoma. It is also essential that atrial myxomas are managed early to prevent recurrent strokes.

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Section: Discussionmentioning

confidence: 99%

Cardioembolic Stroke in Young: A Case of Atrial Myxoma Origin

Salam¹,

Reddy²,

Ganaraja³

et al. 2022

Cureus

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Right atrial myxoma in a paediatric patient with inflammatory bowel disease – a case report

Potyrała,

Puła,

Pytrus

et al. 2023

Pediatr Med Rodz

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Background: Cardiac myxoma is the most common primary cancer of the heart in adults. It is characterised by non-specific clinical symptoms and radiological findings. The aim of this study is to present the case of a 3.5-year-old boy diagnosed with right atrial myxoma briefly after the onset of inflammatory bowel disease treatment. Case report: The patient was hospitalised because of chronic diarrhoea, dyselectrolytaemia, and severe cachexia. Following multiple examinations, a diagnosis of inflammatory bowel disease was made. Additionally, due to upper limb oedema, a cardiac consultation and echocardiography were conducted, revealing a solid mass in the right atrium. Consequently, a cardiac surgical intervention was carried out due to the patient’s condition. Conclusions: Right atrial myxomas are extremely rare in paediatric patients, and the coexistence of inflammatory bowel disease and cardiac myxoma has not been previously reported in the literature. Further research is needed to establish the potential correlation between these two diseases.

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Myxoma of the left atrium revealed by a stroke in a young female patient: case report

Charfo

Elamraoui

GAMBOBO

et al. 2022

Preprint

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Introduction: Cardiac myxoma is a primary benign tumor most often located in the left atrium and it is a rare source of cerebral stroke of young subjects. Case Presentation: We report the case of a young women with cardiac myxoma revelated by hemiplegia. The patient suddenly presented vertigo followed by a fall, a heaviness of her left body, and dysarthria. The brain CT scan and magnetic resonance imaging have revealed cerebral ischemia located in the right Sylvian territory. Transthoracic echocardiography highlighted a round cardiac mass, mobile, heterogeneous, multilobed, appended to the interatrial septum and the atrial side of the large mitral valve by wide implantation and measuring 38x25mm in the parasternal short axis (PSAX) and apical 4 chamber views evocative of left atrium myxoma. After the surgical resection, which was postponed for a month, the removed tumor was sent for histopathological examination. The morphological examination revealed a myxoid tumor proliferation compatible with cardiac myxoma expressing calretinin by these tumor cells in the immunohistochemical study. Conclusions: Left atrium myxoma is a benign cardiac tumor and a rare cause of ischemic stroke. Transthoracic echocardiography facilitates the diagnosis of this tumor which will then be confirmed by histological analysis.

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Atrial Myxoma An unusual cause of ischemic stroke in young

Cited by 6 publications

References 8 publications

Cardioembolic Stroke in Young: A Case of Atrial Myxoma Origin

Cardioembolic Stroke in Young: A Case of Atrial Myxoma Origin

Right atrial myxoma in a paediatric patient with inflammatory bowel disease – a case report

Myxoma of the left atrium revealed by a stroke in a young female patient: case report

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