Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2008:2:115-7.
doi: 10.2174/1874192400802010115. Epub 2008 Dec 16.

Stroke from a large left atrial myxoma

Hitoshi Hirose  1 , Benjamin A Youdelman, John W C Entwistle
Affiliations

Stroke from a large left atrial myxoma

Hitoshi Hirose et al. Open Cardiovasc Med J. 2008.

Abstract

A 36-year-old male involved in a car accident was found to have an embolic stroke due to a left atrial myxoma. Open heart surgery was delayed 4 weeks to decrease the risk of neurologic complications from the anticoagulation required for cardiopulmonary bypass. After resection of the myxoma, intraoperative transesophageal echocardiography found severe mitral regurgitation, which was repaired.

Keywords: Myxoma; mitral valve disease; stroke; surgery..

PubMed Disclaimer

Figures

Fig. (1)
Fig. (1)
Preoperative transesophageal echocardiography shows a large left atrial mass (55 x 40 mm).
Fig. (2)
Fig. (2)
CT scan of the head demonstrates a large infarct in the area of the right middle cerebral artery. There is a suggestion of hemorrhage within the infarcted area (arrow).
Fig. (3)
Fig. (3)
Surgical specimen of the left atrial mass consistent with a large friable tumor.
Fig. (4)
Fig. (4)
Intraoperative transesophageal echocardiography after resection of the left atrial myxoma shows severe mitral regurgitation.
See this image and copyright information in PMC

References

    1. Ekinci EI, Donnan GA. Neurological manifestations of cardiac myxoma: a review of the literature and report of cases. Intern Med J. 2004;34:243–9. - PubMed
    1. Pinede L, Duhaut P, Loire R. Clinical presentation of left atrial cardiac myxoma. A series of 112 consecutive cases. Medicine. 2001;80:159–72. - PubMed
    1. Aggarwal SK, Barik R, Sarma TC, et al. Clinical presentation and investigation findings in cardiac myxoma: new insights from the developing world. Am Heart J. 2007;154:102–7. - PubMed
    1. Shapiro LM. Cardiac tumors: diagnosis and management. Heart. 2001;85:218–22. - PMC - PubMed
    1. O’Rourke F, Dean N, Mourandian MS, Akhtar N, Shuaib A. Atrial myxoma as a cause of stroke: case report and discussion. Can Med J Assoc. 2003;169:1049–51. - PMC - PubMed

LinkOut - more resources