Multiple cerebral aneurysms in a patient with recurrent cardiac myxomas. A case report

Abstract

A 22 year old female presented in 1987 a cardiac myxoma, removed in 1991. In 1992 catheter angiography showed bilateral aneurysms. Conservative treatment was elected. In 2000 recurrence of the myxoma and subsequent removal, prompted new angiography. All aneurysms had decreased in size, some had spontaneously disappeared.

Figure 1

CT scan demonstrates right ventricular mass (myxoma).

Figure 2

Axial T2w image demonstrates unusual shape of trifurcation of left MCA.

Figure 3

Injection of left ICA lateral view (1992).

Figure 4

Injection of left ICA frontal view (1992).

Figure 5

Injection of right ICA lateral view (1992).

Figure 6

Injection of right ICA frontal view (1992).

Figure 7

Injection of left ICA lateral view (2003).

Figure 8

Injection of left ICA frontal view (2003).

Figure 9

Injection of right ICA lateral view (2003).

Figure 10

Injection of right ICA frontal view (2003).

Figure 11 und 12

CT scans demonstrate marginal calcification (arrow in fig. 11) and thrombosis (arrow in fig. 12) of large aneurysm of left MCA.

Figure 11 und 12

CT scans demonstrate marginal calcification (arrow in fig. 11) and thrombosis (arrow in fig. 12) of large aneurysm of left MCA.

Figure 13

Pathogenesis of vessel involvement in myxoma.