scholarly journals Emergency Excision of Cardiac Myxoma and Endovascular Coiling of Intracranial Aneurysm after Cerebral Infarction

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Youssef Al-Said ◽  
Heyam Al-Rached ◽  
Saleh Baeesa ◽  
Khalil Kurdi ◽  
Ibrahim Zabani ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Intracranial Aneurysm ◽  
Cerebral Infarction ◽  
Left Atrial ◽  
Cardiac Myxoma ◽  
Artery Aneurysm ◽  
Surgical Excision ◽  
Endovascular Coiling ◽  
Left Atrial Myxoma ◽  
Internal Carotid Artery Aneurysm

Cardiac myxoma is the most common primary tumor of the heart, located mainly in the left atrium. Cerebral embolization or intracranial aneurysm formation as a consequence of left atrial myxomas has been well documented, whereas myxoma embolization causing the combination of cerebral infarction and intracranial myxomatous aneurysm is rare. We report herein, a 67-year-old female with a cardiac myxoma who experienced a left hemispheric embolic ischemic stroke and in addition was found to have right internal carotid artery aneurysm. The patient underwent emergency surgical excision of left atrial myxoma 2 hours after the stroke onset and endovascular coiling of the aneurysm a week later. Although the timing of cardiac surgery is controversial in patients who have had recent ischemic stroke, we recommend immediate resection of cardiac myxoma, if feasible, and early endovascular treatment of associated intracranial myxomatous aneurysms.

A Rare Cause of Pediatric Stroke

2016 ◽  
Vol 8 (2) ◽  
pp. 220-223 ◽  
Author(s):  
Ignacio Juaneda ◽  
Alejandro Peirone ◽  
Alejandro Contreras ◽  
Juan Díaz ◽  
Federico Roca
Keyword(s):  
Ischemic Stroke ◽  
Surgical Resection ◽  
Vascular Malformation ◽  
Left Atrial ◽  
Pediatric Population ◽  
Cardiac Myxoma ◽  
Sudden Onset ◽  
Uneventful Recovery ◽  
Left Atrial Myxoma ◽  
Initial Event

We describe a case of sudden-onset left-sided hemiparesis and dysarthria in a five-year-old boy. Acute vascular malformation bleeding or ischemic stroke was suspected. Neurological examination three weeks after the initial event revealed mild residual facial paresis. Brain angiography ruled out a vascular malformation. A work-up echocardiogram revealed a 4-cm left atrial mass compatible with cardiac myxoma. Urgent surgical resection of the mass under cardiopulmonary bypass confirmed the diagnosis. Uneventful recovery followed surgical resection. In this report, we present a partially embolized left atrial myxoma that caused an acute ischemic stroke, which is rarely considered and encountered in the pediatric population.

scholarly journals Prevention of Cerebral Embolism Progression by Emergency Surgery of the Left Atrial Myxoma

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Syuichi Tetsuka ◽  
Kunihiko Ikeguchi
Keyword(s):  
Thrombolytic Therapy ◽  
Scale Score ◽  
Left Atrial ◽  
Cardiac Myxoma ◽  
Surgical Excision ◽  
Atrial Myxoma ◽  
Cerebral Embolism ◽  
National Institutes Of Health ◽  
Left Atrial Myxoma ◽  
Tumor Extraction

A 21-year-old woman developed left hemiparesis during work and was hospitalized. Her National Institutes of Health Stroke Scale score was 4. Hyperintense areas in the left basal ganglia, corona radiata, and cortex of the temporal lobe were found by brain diffusion-weighted magnetic resonance imaging, indicating acute cerebral infarction. Echocardiography showed a giant mass of diameter 7 × 4 cm in the left atrium. Therefore, she was diagnosed with cerebral embolism due to a left atrial myxoma. Currently, thrombolytic therapy may continue to be effective because the embolic source may be composed of tumor tissue itself. In case of atrial myxoma, we considered that the use of tPA as emergency treatment in all patients with infarction by atrial myxoma may be questioned. Thus, cardiac tumor extraction was performed the next day after hospitalization without thrombolytic therapy. The excised myxoma measured 7 × 6 × 4 cm. The patient recovered and her neurological symptoms also improved. Furthermore, her National Institutes of Health Stroke Scale score improved to 0. Thirteen days after admission, the patient was discharged from our hospital. Cardiac myxoma is often associated with a high risk of embolic episodes, which emphasizes the need for prompt surgical excision as soon as the diagnosis is confirmed.

Ischemic stroke in both hemispheres in 37 year old woman as a result of left atrial myxoma

2017 ◽  
Vol 381 ◽  
pp. 879
Author(s):  
P. Lebedynets ◽  
V. Lebedynets ◽  
M. Moroz ◽  
K. Stetsyura
Keyword(s):  
Ischemic Stroke ◽  
Left Atrial ◽  
Atrial Myxoma ◽  
Left Atrial Myxoma

scholarly journals Staged Multimodality Treatment of a Large Ruptured Fusiform Supraclinoid Internal Carotid Artery Aneurysm: Microsurgical Clip.assisted Endovascular Coiling

2017 ◽  
Vol 08 (04) ◽  
pp. 668-671 ◽  
Author(s):  
Dale Ding ◽  
Thomas J. Buell ◽  
Ching-Jen Chen ◽  
Daniel M. Raper ◽  
Kenneth C. Liu ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Multimodality Treatment ◽  
Endovascular Coiling ◽  
Fusiform Aneurysm ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm ◽  
Supraclinoid Internal Carotid Artery

ABSTRACTIn the contemporary era of aneurysm management, large fusiform aneurysms presenting with subarachnoid hemorrhage (SAH) remain particularly challenging lesions to successfully manage. We describe a staged, multimodal treatment strategy for a 71-year-old patient who presented with a large ruptured fusiform aneurysm of the supraclinoid internal carotid artery (ICA) and a fetal posterior communicating artery which originated from the inferomedial aspect of the aneurysm. In the first stage, we performed a partial microsurgical clip reconstruction of the fusiform aneurysm and secured its rupture site, which was identified intraoperatively. This left two residual saccular components of the aneurysm, which were targeted with endovascular coiling in the same hospitalization after the patient had convalesced from the SAH and was beyond the vasospasm window. We believe that this combined approach of clip-assisted coiling can be employed instead of endovascular flow diversion or microsurgical bypass for appropriately selected patients with ruptured fusiform ICA aneurysms.

Safety of Intravenous Thrombolysis in Ischemic Stroke Caused by Left Atrial Myxoma

2011 ◽  
Vol 6 (5) ◽  
pp. 343-345 ◽  
Author(s):  
Maurizio Acampa ◽  
Rossana Tassi ◽  
Francesca Guideri ◽  
Giovanna Marotta ◽  
Lucia Monti ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Left Atrial ◽  
Intravenous Thrombolysis ◽  
Atrial Myxoma ◽  
Left Atrial Myxoma

Left atrial myxoma in a patient with atrial fibrillation following ischemic stroke – Case report

2016 ◽  
Vol 23 (2) ◽  
pp. 147-150
Author(s):  
Elżbieta Malarkiewicz ◽  
Sonia J. Konsek ◽  
Paulina A. Dziamałek ◽  
Grzegorz Wasilewski
Keyword(s):  
Atrial Fibrillation ◽  
Ischemic Stroke ◽  
Case Report ◽  
Left Atrial ◽  
Atrial Myxoma ◽  
Left Atrial Myxoma ◽  
Stroke Case

Safe and Effective Intravenous Thrombolysis for Acute Ischemic Stroke Caused by Left Atrial Myxoma

2009 ◽  
Vol 18 (5) ◽  
pp. 398-402 ◽  
Author(s):  
Christian D. Nagy ◽  
Michael Levy ◽  
Thomas J. Mulhearn ◽  
Maryam Shapland ◽  
Henry Sun ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Left Atrial ◽  
Intravenous Thrombolysis ◽  
Atrial Myxoma ◽  
Left Atrial Myxoma

scholarly journals Left atrial myxoma causing severe mitral regurgitation

2018 ◽  
Vol 5 (6) ◽  
pp. 2358
Author(s):  
Swaminathan Vaidyanathan ◽  
Anjith Prakash Rajakumar ◽  
Vijay Madhan ◽  
V. M. Kurian
Keyword(s):  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Left Atrial ◽  
Surgical Excision ◽  
Atrial Myxoma ◽  
Valve Repair ◽  
Left Atrial Myxoma ◽  
Complete Surgical Excision ◽  
Asymptomatic Patients ◽  
Benign Tumours

Myxomas are the most common benign tumours of the heart, majority of them arise from left atrium. They can have varied presentations, with asymptomatic patients to be picked up in routine screening at one end of spectrum to dangerous embolic manifestations at the other end of the spectrum. We report a case of left atrial myxoma distorting the mitral valve apparatus causing severe eccentric mitral regurgitation. Patient underwent complete surgical excision of the tumour along with mitral valve repair.

scholarly journals Cardiac Myxoma with Cerebral Metastases and Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma: A Case Report and Review

2020 ◽  
Vol 81 (01) ◽  
pp. e1-e6 ◽  
Author(s):  
Jared A. Maas ◽  
Manuel Menes ◽  
Vitaly Siomin
Keyword(s):  
Chronic Lymphocytic Leukemia ◽  
Cardiac Myxoma ◽  
Brain Magnetic Resonance Imaging ◽  
Surgical Excision ◽  
Cerebral Metastases ◽  
Lymphocytic Leukemia ◽  
Cardiac Tumors ◽  
Small Lymphocytic Lymphoma ◽  
Left Atrial Myxoma ◽  
Primary Treatment Modality

Abstract Background Cardiac myxomas, the most common primary cardiac tumors, are generally benign neoplasms. Primary cardiac lymphoma is a rare cardiac malignancy with a very poor prognosis. Here we present a case of a cardiac myxoma with cerebral metastases and chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) arising within the cerebral metastases. Case description A 62-year-old man, who presented with symptoms of multiple transient ischemic attacks, was found to have a left atrial myxoma. Twelve months after excision of the myxoma, the patient experienced a recurrence of neurologic symptoms. Brain magnetic resonance imaging revealed multiple hemorrhagic masses. Craniotomy was performed to resect the lesions. Histopathologic examination confirmed cardiac myxoma metastases and a small lymphocytic infiltrate within the tumor consistent with CLL/SLL. Conclusion Including the present case, there are 27 cases of cardiac myxoma cerebral metastases and 22 cases of lymphomas arising within myxomas. The present case is the first known instance of both entities in the same patient. There is no standard management for either cardiac myxoma metastases or lymphoma within a myxoma. For both diseases, surgical excision is the primary treatment modality, but postoperative chemotherapy and/or radiation have been attempted. Myxomas may create a chronic inflammatory state that could lead to the development of CLL/SLL.

Giant Left Atrial Myxoma Misdiagnosed As Schizophrenia: A Case Report

2020 ◽  
Author(s):  
Hongfei Xu ◽  
Wei Si ◽  
Yiran Zhang ◽  
Yiming Ni ◽  
Weidong Li
Keyword(s):  
Left Atrium ◽  
Left Atrial ◽  
Tumor Resection ◽  
Cardiac Myxoma ◽  
Health Department ◽  
Cardiac Tumors ◽  
Left Atrial Myxoma ◽  
Giant Tumor ◽  
Atrial Enlargement ◽  
Mental Health Department

Abstract Background: Primary cardiac tumors are rare. Myxoma is the most common cardiac tumor and presents in the left atrium. Improvements tend to occur with early diagnosis, and with the help of high-resolution imaging technology, such as transesophageal echocardiography (TEE). Patients typically present with tightness of the chest, fatigue and lassitude. There are also cases of misdiagnosis and missed diagnosis. Case presentation: A 59-year-old Chinese woman complained of tightness in her chest, fatigue and lassitude for eight years. She had been misdiagnosed with schizophrenia by the local rural hospital. Computed tomography (CT) confirmed a giant mass in the left atrium, and transthoracic echocardiography (TTE) revealed left atrial enlargement with an occupying lesion. For this patient, we performed tumor resection surgery with a cardiopulmonary bypass. The giant tumor was partially detached during the operation, and the thrombus was removed successfully. After the operation, the mental health department of our hospital thought that the patient's diagnosis of schizophrenia was misdiagnosed. The patient recovered well and appeared rejuvenated after the operation. A two-year follow-up found no adverse events since the operation. Conclusions: When making a diagnosis for a patient who presented with tightness of the chest, we need to administer a cardiac physical examination and echocardiography. The physician diagnosing schizophrenia needs to first rule out any organic diseases. A careful and complete resection of the cardiac myxoma is a vital operation, due to the risk of thromboembolism.

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