DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20161833

Atrial myxoma causing cerebral embolic ischemic stroke as the first presentation in an apparently asymptomatic young male with birth asphyxial injury: a case report

Akash Mathur, Dinesh Gurjar, Arvind Lakesar, Ramkrishna Sai, Arun Agrawal, Hemant Malhotra

Abstract


A myxoma is the most common primary tumor of the heart. It has been reported as the source of a cardiogenic embolism. Therefore, it is important for clinicians to detect the myxoma early to prevent complications like cerebral embolic stroke. This report presents the case of a 40-year-old male with birth asphyxial injury whose first clinical manifestation of atrial myxoma was an ischemic stroke. Atrial myxoma was later confirmed as the cause of his symptoms by echocardiography and cardiac CT scan along with Doppler studies.


Keywords


Atrial myxoma, Embolic ischemic stroke

Full Text:

PDF

References


Reynen K. Cardiac myxomas. N Engl J Med 1995;333(24):1610-7.

Le BD, De Lemos JA, Wait MA, Goff G, Boehrer J, Peterson GE. Left hemiparesis from atrial myxoma emboli. Cardiol Rev. 2003;11(1):41-4.

Rescigno G, Matteucci SL, D'Alfonso A, Iacobone G, Piccoli GP. A cryptogenic pulmonary embolism: left atrial myxoma occluding an atrial septal defect. J Thorac Cardiovasc Surg 2006;132(5):1223-4.

Ozaydin M, Dogan A, Altinbas A. Left atrial myxoma presenting with acute myocardial infarction – a case report. Angiology 2005;56(6):767-9.

Bajraktari G, Emini M, Berisha V, Gashi F, Beqiri A, Zahiti B, et al. Giant left atrial myxoma in an elderly patient: Natural history over a 7-year period. J Clin Ultrasound. 2006,34(9):461-3.

Schmidt D, Hetzel A, Geibel-Zehender A: Retinal arterial occlusion due to embolism of suspected cardiac tumors – report on two patients and review of the topic. Eur J Med Res. 2005;10(7):296-304.

Hirose G, Kosoegawa H, Takado M, Shimazaki K, Murakami E: Spinal cord ischemia and left atrial myxoma. Arch Neurol. 1979,36(7):439.

Hofmann E, Becker T, Romberg-Hahnloser R, Reichmann H, Warmuth-Metz M, Nadjmi M. Cranial MRI and CT in patients with left atrial myxoma. Neuroradiology. 1992;34(1):57-61.

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.