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Case Reports
. 2023 Jun 21;18(9):3005-3008.
doi: 10.1016/j.radcr.2023.05.059. eCollection 2023 Sep.

Massive left atrial myxoma leading to recurrent cerebrovascular accidents (CVAs) in a young woman: A case report

Haseeb Khan Tareen  1 , Zain Ul Abiddin  1 , Safi-Ur-Rehman Daim  1 , Muhammad Fawad Ashraf  1 , Rana Uzair Ahmad  1
Affiliations
Case Reports

Massive left atrial myxoma leading to recurrent cerebrovascular accidents (CVAs) in a young woman: A case report

Haseeb Khan Tareen et al. Radiol Case Rep. .

Abstract

Myxomas are tumors that occur due to uncontrolled proliferation of mesenchymal cells. Cardiac myxomas although very rare, are still the most common primary tumor of heart. Cardiac myxomas have a prevalence of 0.03% in the general population. They can have a variety of clinical presentations with obstructive cardiac symptoms, constitutional symptoms and symptoms due to embolism to other body parts chief among them. CNS embolism with stroke is among the rarest clinical presentation of cardiac myxomas. Our article portrays a case of cardiac myxomas that initially resulted in episodes of dyspnea and syncope and eventually led to recurrent episodes of transient ischemic attack and stroke. Case was confirmed by transesophageal echocardiography and managed surgically by medial sternotomy. Myxoma, a benign primary cardiac tumor is itself a rare occurrence, embolization of myxoma leading to multiple strokes is an atypical clinical presentation. Our report would be a valuable addition to the already existing literature.

Keywords: Atrial myxoma; Cardiac; Case report; Cerebrovascular accidents (CVAs); Stroke.

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Figures

Fig 1
Fig. 1
Computed Topography of the brain showing infarct in right parietal lobe and lacunar infarct of right head of caudate. *Circles showing ischemic stroke.
Fig 2
Fig. 2
Echocardiography showing left atrial myxoma. *Arrow showing left atrial myxoma.
See this image and copyright information in PMC

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