Autopsy and Case Reports
https://autopsyandcasereports.org/article/doi/10.4322/acr.2020.178
Autopsy and Case Reports
Clinical Case Report

Atrial Myxoma – An unusual cause of ischemic stroke in young

Ravdeep Singh Sohal; Khushdeep Kaur Shergill; Gagandeep Singh Nagi; Hari Janardanan Pillai

Downloads: 0
Views: 47

Abstract

Atrial myxomas are rare primary cardiac tumours with neurological manifestations being reported in 30% of cases. Though a rare cause of ischemic stroke in young patients, considering it as a possibility in absence of any obvious risk factors can help avoid misdiagnosis at early stages. We present a case of left atrial myxoma in a 36-year-old male with no known co-morbidities, showing an unusual clinical presentation of isolated bilateral painless vision loss. With multiple infarcts on Non Contrast Computerised Tomography (NCCT) and a suspicion of Atrial Myxoma on Transesophageal Echocardiography (TEE), patient was successfully managed surgically with confirmation of diagnosis on histopathology.
Keywords - Myxoma; Stroke; Thrombosis

References

Figueroa-Torres Y, Martı’nez-Ojeda JA, Franqui-Rivera H, Martı’nez-Toro J. Benign cardiac neoplasms: The experience at the Cardiovascular Center of Puerto Rico and the Caribbean. P R Health Sci J. 2008;27(4):373-6. [PMID:19069370]

Pinede L, Duhaut P, Loire R. Clinical presentation of left atrial cardiac myxoma: A series of 112 consecutive cases. Medicine (Baltimore). 2001;80(3):159-72. [https://doi.org/10.1097/00005792-200105000-00002]. [PMID:11388092]

Ekinci EI, Donnan GA. Neurological manifestations of cardiac myxoma: A review of the literature and report of cases. Intern Med J. 2004;34(5):243-9. [https://doi.org/10.1111/j.1444-0903.2004.00563.x]. [PMID:15151670]

Hatayama S, Ogata T, Okawa M, et al. Ischemic stroke induced by a left atrial myxoma. Brain Nerve. 2012;64(10):1175-9. [PMID:23037608]

Centofanti P, Di Rosa E, Deorsola L, et al. Primary cardiac tumors: early and late results of surgical treatment in 91 patients. Ann Thorac Surg. 1999;68(4):1236-41. [https://doi.org/10.1016/S0003-4975(99)00700-6]. [PMID:10543485]

O’Rourke F, Dean N, Mouradian MS, Akhtar N, Shuaib A. Atrial myxoma as a cause of stroke: case report and discussion. CMAJ. 2003;169(10):1049-51. [PMID:14609975]

Aiello VD, Campos FP. Cardiac Myxoma. Autops Case Rep. 2016;6(2):5-7. [https://doi.org/10.4322/acr.2016.030]. [PMID:27547737]

Wang JG, Li YJ, Liu H, Li NN, Zhao J, Xing XM. Clinicopathologic analysis of cardiac myxomas: seven years’ experience with 61 patients. J Thorac Dis. 2012;4(3):272-83. [https://doi.org/10.3978/j.issn.2072-1439.2012.05.07]. [PMID:22754666]

Siminelakis S, Kakourou A, Batistatou A, Sismanidis S, Ntoulia A, Tsakiridis K, Syminelaki T, Apostolakis E, Zarogoulidis P, Tsiouda T, Katsikogiannis N, Kougioumtzi I, Dryllis G, Machairiotis N, Mpakas A, Beleveslis T, Zarogoulidis K. Thirteen years follow-up of heart myxoma operated patients: what is the appropriate surgical technique? J Thorac Dis. 2014 Mar;6 (1 Suppl):S32-8. [https://doi.org/10.3978/j.issn.2072-1439.2013.10.21]. Erratum in: J Thorac Dis. 2014 Jun;6(6):E146.

McCarthy PM, Piehler JM, Schaff HV, et al. The significance of multiple, recurrent and “complex” cardiac myxomas. J Thorac Cardiovasc Surg. 1986;91(3):389-96. [https://doi.org/10.1016/S0022-5223(19)36054-4]. [PMID:3951243]

Semb BK. Surgical considerations in the treatment of cardiac myxoma. J Thorac Cardiovasc Surg. 1984;87(2):251-9. [https://doi.org/10.1016/S0022-5223(19)37419-7]. [PMID:6694416]

 

 

 


Submitted date:
04/25/2020

Accepted date:
05/07/2020

Publication date:
09/02/2020

5f4fe9cf0e8825e3167dc2e2 autopsy Articles
Links & Downloads

Autops Case Rep

Share this page
Page Sections