Left Atrial Myxoma with Ischemic Stroke Complications: A Case Report

DOI

10.2991/978-94-6463-048-0_41How to use a DOI?

Keywords

myxoma; echocardiography; ischemic stroke; cardiac surgery

Abstract

Cardiac myxoma is the most frequent primary tumor of the heart, considered a benign, slowly proliferating neoplasm. The incidence of cardiac myxoma is low, with approximately 0.5–1 cases per 1,000,000 individuals per year. Cardiac myxoma can be present at any age but most often in 30–60 years old, with female predominance (1.5:1). Serious complications include neurological symptoms, heart failure, arrhythmias, and pericardial effusion. Ischemic stroke complications associated with atrial myxoma due to embolus. Aims: to describe the features, complications and management of left atrial myxoma. Case summary: A 31-year-old woman with the chief complaint of sudden diplopia and syncope since 4 days before admission to the hospital. Patient also had history of recurrent vertigo in the last month. Her vital sign was normal. Neurological examination showed eyeball muscles paralysis (OD: nerve VI, IV and III inferior oblique paralysis; OS: nerve III medial and superior paralysis), flat right nasolabial plica (nerve VII right perifer paralysis) and tongue deviation to the right (nerve XII right central paralysis). A Head MRI showed subacute multiple infarcts in bilateral thalamus and bilateral centrum semiovale with infarcts in left cerebellum. Echocardiography showed a pedunculated mass in left atrium attached to the interatrial septum, which was suggestive of left atrial myxoma. Patient diagnosed a left atrial myxoma with ischemic stroke. Results: Excised left atrial myxoma was performed with cardiac surgery and cardiopulmonary bypass procedures. After treatment procedures, the patient have clinical improvement without any complications. Histopathological examination revealed cardiac myxoma. Follow-up echocardiography showed no residual tumors in left atrial. Conclusions: Echocardiography should be done in all cases of stroke as a screening tool to rule out any intracardiac mass, such as cardiac myxoma. Early diagnosis and urgent surgical excision of the cardiac myxoma remains the definitive treatment that will be given excellent results.

Copyright

© 2023 The Author(s)

Open Access

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TY  - CONF
AU  - Muhammad Mukti
AU  - Susilawati
AU  - Fredi Heru Irwanto
AU  - Ahmat Umar
AU  - Bermansyah
AU  - Pinto Desti R
AU  - Erwin Sukandi
AU  - Ali Ghanie
AU  - Taufik Indrajaya
PY  - 2022
DA  - 2022/12/19
TI  - Left Atrial Myxoma with Ischemic Stroke Complications: A Case Report
BT  - Proceedings of the 3rd International Conference on Cardiovascular Diseases (ICCvD 2021)
PB  - Atlantis Press
SP  - 355
EP  - 363
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-048-0_41
DO  - 10.2991/978-94-6463-048-0_41
ID  - Mukti2022
ER  -