scholarly journals Left Atrium Myxoma Revealed by an Ischemic Stroke: About a Case

2019 ◽  
Vol 2 (3) ◽  
pp. 136-139
Author(s):  
Beye SM ◽  
Ndichout A ◽  
Diop KR ◽  
Tabane A ◽  
Rissonga MK ◽  
...  

Introduction: Left atrial myxoma is a rare benign tumor. It can be an embolic complication such as an ischemic stroke. Case presentation: It was a 48 years old patient who was referred to our unity for the etiological investigation of an ischemic stroke. She did not have personal medical and surgical history. She had a recent right hemiplegia. The cardiac auscultation found a mitral diastolic murmur. The brain CT showed a recent ischemic stroke in the superficial and deep left sylvian territory. The transthoracic echography revealed a myxomatous mass, responsible of an obstacle of the left ventricular filling. Anticoagulation by antivitamin K (AVK) had been initiated and a resection of the mass indicated. Conclusions: The left atrial myxoma is a rare benign tumor whose mode of revelation can be an embolic complication. The Echocardiography is reference imaging modality in diagnosis with a high sensitivity.

Author(s):  
Beyeaa SM

Conclusions: The left atrial myxoma is a rare benign tumor whose mode of revelation can be an embolic complication. The Echocardiography is reference imaging modality in diagnosis with a high sensitivity.


Author(s):  
António Fontes ◽  
Nuno Dias-Ferreira ◽  
Anabela Tavares ◽  
Fátima Neves

Abstract Background Myocarditis is an uncommon, potentially life-threatening disease that presents with a wide range of symptoms. In acute myocarditis, chest pain (CP) may mimic typical angina and also be associated with electrocardiographic changes, including an elevation of the ST-segment. A large percentage (20–56%) of myxomas are found incidentally. Case summary A 62-year-old female presenting with sudden onset CP and infero-lateral ST-elevation in the electrocardiogram. The diagnosis of ST-elevation myocardial infarction was presumed and administered tenecteplase. The patient was immediately transported to a percutaneous coronary intervention centre. She complained of intermittent diplopia during transport and referred constitutional symptoms for the past 2 weeks. Coronary angiography showed normal arteries. The echocardiogram revealed moderate to severe left ventricular systolic dysfunction due to large areas of akinesia sparing most of the basal segments, and a mobile mass inside the left atrium attached to the septum. The cardiac magnetic resonance (CMR) suggested the diagnosis of myocarditis with concomitant left atrial myxoma. The patient underwent resection of the myxoma. Neurological evaluation was performed due to mild vertigo while walking and diplopia in extreme eye movements. The head magnetic resonance imaging identified multiple infracentimetric lesions throughout the cerebral parenchyma compatible with an embolization process caused by fragments of the tumour. Discussion Myocarditis can have various presentations may mimic acute myocardial infarction and CMR is critical to establish the diagnosis. Myxoma with embolic complications requires emergent surgery. To the best of our knowledge, this is the first case reported in the applicable literature of a myxoma diagnosed during a myocarditis episode.


2017 ◽  
Vol 381 ◽  
pp. 879
Author(s):  
P. Lebedynets ◽  
V. Lebedynets ◽  
M. Moroz ◽  
K. Stetsyura

2011 ◽  
Vol 6 (5) ◽  
pp. 343-345 ◽  
Author(s):  
Maurizio Acampa ◽  
Rossana Tassi ◽  
Francesca Guideri ◽  
Giovanna Marotta ◽  
Lucia Monti ◽  
...  

2016 ◽  
Vol 23 (2) ◽  
pp. 147-150
Author(s):  
Elżbieta Malarkiewicz ◽  
Sonia J. Konsek ◽  
Paulina A. Dziamałek ◽  
Grzegorz Wasilewski

Author(s):  
Christian D. Nagy ◽  
Michael Levy ◽  
Thomas J. Mulhearn ◽  
Maryam Shapland ◽  
Henry Sun ◽  
...  

2006 ◽  
Vol 103 (6) ◽  
pp. 1406-1407 ◽  
Author(s):  
James H. Abernathy ◽  
Andrew B. Locke ◽  
Stanton K. Shernan

1989 ◽  
Vol 117 (6) ◽  
pp. 1390-1392 ◽  
Author(s):  
Gregory S. Pavlides ◽  
Robert N. Levin ◽  
Andrew M. Hauser

2020 ◽  
Vol 25 (2) ◽  
pp. 39-41
Author(s):  
Alexandra Stoica ◽  
Marius Harpa ◽  
Hussam Al Hussein ◽  
Carmen Opriş ◽  
Cosmin Opriş ◽  
...  

AbstractAortic valve replacement is a safe therapy that can reverse cardiac remodeling and increase cardiac contractility, improve symptoms and quality of life. We presented a case of a 35-year-old male patient admitted to the Emergency Institute for Cardiovascular Disease and Transplantation of Târgu Mureș, Romania, due to severe aortic stenosis with severely depressed ejection fraction, left atrial myxome and a history of deep vein thrombosis and pulmonary thromboembolism. He underwent excision of the aortic valve and replacement with a mechanical prosthesis, excision of left atrial myxoma and tricuspid annuloplasty. The postoperative evolution was favourable with a significant recovery of the left ventricular systolic function and regression of cardiac symptomatology. This case was particular due to the rapid progression of the aortic pathology with the reduction of cardiac (systolic) function in a relatively short time as well as the occurrence of the thromboembolic event unrelated to the left atrial myxoma and rather associated with the background of cardiac failure with low cardiac output.


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