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 7 publications

(4 citation statements)

References 8 publications

(13 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moss et al reported a case of cardiac myxoma in a middle-aged patient who presented with sudden left-sided paresis and paresthesia and was diagnosed with multifocal ischemic strokes [ 9 ]. Sohal et al also underlined a case of ischemic stroke in a young patient caused by cardiogenic emboli from an atrial myxoma [ 10 ]. The underlying pathophysiological mechanism of cardiac myxoma as an etiology of ischemic stroke is the friable and gelatinous nature of the tumor component, which can dislodge from the tumor causing embolization to distant areas.…”

Section: Discussionmentioning

confidence: 99%

Atrial Myxoma: An Unusual Etiology of Ischemic Stroke in an Adult Patient

Sadia,

Oshikoya,

Sachdev

et al. 2023

Cureus

View full text Add to dashboard Cite

Atrial myxoma is the most frequent primary cardiac tumor; however, it is a rare, substantial cause of cardiogenic emboli causing a stroke, especially in young adults. A cardiac myxoma has no specific clinical presentation, ranging from constitutional symptoms to non-cardiac symptoms and emboli, which leads to a diagnostic challenge in the clinical process. We report a case of a left atrial myxoma in an adult female who presented with sudden onset of right-sided weakness, headache, and numbness. Imaging confirmed cardiogenic emboli from the cardiac myxoma, which was reflected in an ischemic stroke.

show abstract

Section: Discussionmentioning

confidence: 99%

Atrial Myxoma: An Unusual Etiology of Ischemic Stroke in an Adult Patient

Sadia,

Oshikoya,

Sachdev

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…However, the reappearance of such a correlation suggests the need to extend research in this direction. Myxoma of the heart often manifests as heart failure or the effect of embolic complications, most often affecting the cerebral vessels, but also the pulmonary, renal, coronary, and lower limb vessels (15,16) . The symptoms described in the medical literature include shortness of breath, hemiparesis, arrhythmias, fainting, nausea, weight loss, and even sudden death (1,11) .…”

Section: Discussionmentioning

confidence: 99%

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

Potyrała,

Puła,

Pytrus

et al. 2023

Pediatr Med Rodz

View full text Add to dashboard Cite

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.

show abstract

“…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

View full text Add to dashboard Cite

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.

show abstract

Atrial Myxoma An unusual cause of ischemic stroke in young

Cited by 7 publications

References 8 publications

Atrial Myxoma: An Unusual Etiology of Ischemic Stroke in an Adult Patient

Atrial Myxoma: An Unusual Etiology of Ischemic Stroke in an Adult Patient

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

Cardioembolic Stroke in Young: A Case of Atrial Myxoma Origin

Contact Info

Product

Resources

About