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 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.

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

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 A SHORT RECURRENCE TIME OF LEFT ATRIAL MYXOMA: CASE REPORT AND LITERATURE REVIEW

2021 ◽  
Vol 07 (01) ◽  
Author(s):  
KAWTAR MANOURI ◽  
Keyword(s):  
Surgical Resection ◽  
Heart Surgery ◽  
Cardiac Myxoma ◽  
Atrial Myxoma ◽  
Recurrence Time ◽  
Previous Surgery ◽  
Exertional Dyspnea ◽  
Case Presentation ◽  
Left Atrial Myxoma ◽  
Echocardiographic Image

Background: Recurrence of sporadic cardiac myxoma remains unusual but the seriousness of the situation justifies the realization of a surgical resection as complete as possible with post-operative clinical and echocargdiographic monitoring. Case presentation: We recall the case of myxoma of the left atriumin a 64-year-old women complicated by functional mitral stenosis and heart failure. She underwent urgent heart surgery, during which a friable tumor attached by a sessile base to the anterior atrial septum was removed. The postoperative effects were complicated by a pulmonary embolism. Eight months later, the patient consulted for exertional dyspnea with an echocardiographic image in favor of a recurrence of myxoma of the left atrium. Conclusion: Several mechanisms have been proposed to explain such recurrence, the most avoidable remain incomplete surgical resection and Implantation of embolic fragments of the original tumor in the myocardium due to a previous surgery.

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.

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 Intravenous thrombolysis in a patient with left atrial myxoma with acute ischemic stroke

2014 ◽  
Vol 17 (4) ◽  
pp. 455 ◽  
Author(s):  
GirishBaburao Kulkarni ◽  
Ravi Yadav ◽  
Veerendrakumar Mustare ◽  
Sailesh Modi
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Left Atrial ◽  
Intravenous Thrombolysis ◽  
Atrial Myxoma ◽  
Left Atrial Myxoma

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.

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