scholarly journals Multiple Cerebral Aneurysms Caused by Cardiac Myxoma

2007 ◽  
Vol 13 (2) ◽  
pp. 179-184 ◽  
Author(s):  
J. Sedat ◽  
Y. Chau ◽  
A. Dunac ◽  
N. Gomez ◽  
L. Suissa ◽  
...  
Keyword(s):  
Left Atrial ◽  
Cardiac Myxoma ◽  
Cerebral Aneurysms ◽  
Atrial Myxoma ◽  
Left Atrial Myxoma

A case of multiple cerebral aneurysms caused by left atrial myxoma is reported. We present the details of this case and discuss the hypothetical pathogenesis, radiological aspects and treatment of these neoplastic aneurysms.

Left Atrial Myxoma and Antiphospholipid Syndrome—A Case Report

2021 ◽  
Author(s):  
Mijo Meter ◽  
Diana Meter ◽  
Toni Ceprnja ◽  
Dijana Perkovic
Keyword(s):  
Case Report ◽  
Antiphospholipid Syndrome ◽  
Lupus Erythematosus ◽  
Left Atrial ◽  
Imaging Modality ◽  
Cardiac Myxoma ◽  
Atrial Myxoma ◽  
Cardiac Tumors ◽  
Left Atrial Myxoma ◽  
Initial Imaging

AbstractCardiac myxoma (CM) is the most frequent type of primary cardiac neoplasm and is responsible for 58 to 80% of primary cardiac tumors. The antiphospholipid syndrome (APS) occurs most commonly in the systemic lupus erythematosus but it can be also found in other conditions. The coexistence of CM and APS is rarely described in the literature. We report an unusual case of the left atrial myxoma and concomitant APS in a female patient who presented with right-sided hemiplegia. Although rare, we must think about the CM in patients with a newly diagnosed APS and left atrial mass. Nevertheless, we must make a distinction from other possible cardiac structures, especially atrial thrombus. Transthoracic echocardiography is the most frequently used initial imaging modality to detect CM. The aim of this case report was to emphasize that additional imaging modalities and multidisciplinary approach are mandatory in making a proper diagnosis and to choose a further treatment strategy.

scholarly journals Multiple cerebral metastases and metastatic aneurysms in patients with left atrial Myxoma: a case report

BMC Neurology ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Yan Wan ◽  
Hai Du ◽  
Lei Zhang ◽  
Shuang Guo ◽  
Li Xu ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Brain Metastases ◽  
Cardiac Myxoma ◽  
Cerebral Aneurysms ◽  
Surgical Excision ◽  
Atrial Myxoma ◽  
Surgical Removal ◽  
Left Atrial Myxoma ◽  
Complete Surgical Excision

Abstract Background Cardiac myxoma is the most common benign cardiac tumor. Brain metastases or multiple cerebral aneurysms are extremely rare, especially for the case of both complications. Brain metastases are usually found at the same time or few months after the diagnosis or surgical removal of cardiac myxoma Case presentation We describe a case of patient, operated for a cardiac myxoma, who presented multiple central nervous system metastases associated, cerebral aneurysms and subsequent intracerebral hemorrhage Conclusions The long-term follow-up of the patients with atrial myxoma even after complete surgical excision is recommended, especially for the patient with central nervous system manifestations before atrial myxoma excision

scholarly journals Complicated Sporadic Cardiac Myxomas: A Second Recurrence and Myxomatous Cerebral Aneurysms in One Patient

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Mazen E. Iskandar ◽  
Kamellia Dimitrova ◽  
Charles M. Geller ◽  
Darryl M. Hoffman ◽  
Robert F. Tranbaugh
Keyword(s):  
De Novo ◽  
Cardiac Myxoma ◽  
Cerebral Aneurysms ◽  
Atrial Myxoma ◽  
Right Atrial ◽  
Cerebral Angiogram ◽  
Left Atrial Myxoma ◽  
Right Atrial Myxoma ◽  
Cardiac Myxomas ◽  
Matrix Patches

A second recurrence of an excised nonfamilial cardiac myxoma is rare. Myxomatous cerebral aneurysms as a complication of cardiac myxomas are equally rare. A unique case of a patient with a total of 4 myxomas over a 20-year interval is presented. Her most recent presentation was a second recurrence of a left atrial myxoma, a de novo right atrial myxoma, and multiple cerebral myxomatous aneurysms. The challenging reconstruction of the normal anatomy was achieved with the use of porcine extracellular matrix patches. A diagnostic cerebral angiogram was later performed, and the aneurysms will be monitored for growth and possible intervention.

scholarly journals Simultaneously Performed, Totally Endoscopic Left Atrial Myxoma Resection and Lobectomy

2020 ◽  
Vol 23 (3) ◽  
pp. E292-E294
Author(s):  
Jin Shi ◽  
Yong Wang ◽  
Qiuyun Wang ◽  
Xiaohan Bing ◽  
Zengshan Ma
Keyword(s):  
Cardiopulmonary Bypass ◽  
Cardiac Tumor ◽  
Left Atrial ◽  
Cardiac Myxoma ◽  
Atrial Myxoma ◽  
Robotic Assistance ◽  
Left Atrial Myxoma ◽  
Simultaneous Surgery ◽  
The Right ◽  
Preoperative Examination

The patient was a 69-year-old male patient with cancer in the right lung and whose preoperative examination showed left atrial myxoma. Simultaneous surgery for both cardiac myxoma resection and a lobectomy by totally endoscopic surgery without robotic assistance was performed. First, the cardiac tumor on the heart was removed using a cardiopulmonary bypass (CPB), then a lobectomy without any new incisions was performed. This case provides evidence that in individual select patients, a left atrial myxoma resection and lobectomy can be performed under total endoscopy at the same time.

Management of Cardiac Myxomas

1997 ◽  
Vol 5 (3) ◽  
pp. 158-161
Author(s):  
Lim Yeong Phang ◽  
Tan Yong Seng
Keyword(s):  
Coronary Artery ◽  
Left Atrial ◽  
Artery Bypass ◽  
Cardiac Myxoma ◽  
Atrial Myxoma ◽  
Right Atrial ◽  
Primary Tumors ◽  
Left Atrial Myxoma ◽  
Singapore General Hospital ◽  
Cardiac Myxomas

Cardiac myxomas are benign primary tumors of the heart that require prompt surgical intervention because of the possibility of developing syncope and hemodynamic or embolic complications. From 1 January 1981 to 31 December 1996, 20 patients (11 male and 9 female) underwent surgery for cardiac myxoma at Singapore General Hospital. Nineteen patients had a left atrial myxoma and 1 had a right atrial myxoma. Five patients had concomitant coronary artery disease including one with severe mitral regurgitation. Nine patients presented with progressive dyspnea, 5 with systemic embolus, 2 with syncope, 3 with congestive cardiac failure, and 1 with right ventricular failure. In 6 patients the diagnosis was established by cardiac catheterization and 14 patients were diagnosed by two-dimensional echocardiography. Cardiopulmonary bypass with mild to moderate systemic hypothermia was used for excision of the myxoma in all cases. Five patients had concomitant coronary artery bypass grafting and 2 had concomitant mitral valve replacement. There was no hospital mortality among patients who had only excision of the myxoma, including a patient who had a recurrence of her left atrial myxoma 5 years after the initial excision. There were 2 deaths in patients with coexisting cardiac and other diseases. Surgical excision is recommended for all cases of cardiac myxoma. There is little risk associated with this procedure. All patients should be followed up regularly with echocardiographic assessment as there is a small risk of recurrence.

scholarly journals Left Atrial Myxoma Presenting as Lateral Medullary (Wallenberg’s) Syndrome

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Simran Gupta ◽  
Ricky Ayala ◽  
Aakash Desai ◽  
Viraj I. Modi ◽  
Robert J. Nardino
Keyword(s):  
Weight Loss ◽  
Pulmonary Edema ◽  
Clinical Features ◽  
Left Atrial ◽  
Cardiac Myxoma ◽  
Young Female ◽  
Atrial Myxoma ◽  
Primary Tumors ◽  
Left Atrial Myxoma ◽  
Facial Numbness

Myxomas are benign, primary tumors of the heart. Atrial myxomas can present with a variety of clinical features including dyspnea, orthopnea, pulmonary edema, and pulmonary or systemic emboli. Constitutional symptoms such as fever and weight loss may also be present. We report the case of a young female presenting with headache, facial numbness, and vertigo, who was found to have a posterolateral medullary stroke secondary to a large left atrial cardiac myxoma.

scholarly journals A case report of left atrial myxoma presenting with amnesia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sadegh Shabab ◽  
Majid Erfanzadeh ◽  
Shamsa Ahmadian ◽  
Maryam Mahmoudabady ◽  
Naser Mazloum
Keyword(s):  
Left Atrial ◽  
Cardiac Myxoma ◽  
Common Type ◽  
Atrial Myxoma ◽  
Cardiac Tumors ◽  
Surgery Complications ◽  
Case Presentation ◽  
Left Atrial Myxoma ◽  
Primary Cardiac Tumors

Abstract Background Primary cardiac tumors are rare, and approximately 90% of them are benign. Myxoma is the most common type of these tumors occurring in the left atrium in 75–85% of cases. The tumor can cause the left atrio-ventricular valve obstruction and embolization phenomenon. Case presentation We reported a case of 54-year-old man with complaints of dyspenea and amnesia. In our patient, transthoracic echocardiography revealed a mass of 28*63 mm attached to the upper intra-atrial septum, which was prolapsing through the mitral valve into the left ventricle during diastole, being indicative of the left atrial myxoma. On examination, he was alert and conversant, and no pathological abnormality was observed in the examination of cardiovascular, gastrointestinal, respiratory, hepatic, renal and nervous systems. After myxoma diagnosis, the tumor was removed under cardiac surgery and discharged under good conditions. In the telephone follow-up after discharge, the patient recovered and did not report the disease and surgery complications. Conclusions Patients with cardiac myxoma are usually asymptomatic, but they may have manifestations related to the embolism phenomenon or intracardiac obstruction. Therefore, myxoma may represent an emergency. Surgery should be performed as soon as possible. If surgery is delayed, the patient may suffer from serious and irreversible complications, such as stroke and cardiac arrest.

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.

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