Case report reports successful resection of a giant atrial myxoma after neurological stabilization in a 61-year-old female, highlighting the priority of acute stroke management.
A 61-year-old female was admitted to the Taiyan Central Hospital with occlusion of the right middle cerebral artery. A mucous-like thrombus was visualized during thrombus aspiration therapy prompting further examination towards possible source of the embolus. Bedside cardiac ultrasound revealed a left atrial myxoma with a size of approximately 5.6cm x 2.6cm. Due to the risk of further embolization, including to the cerebral and coronary arteries, we provided 14 days of stable treatment in the acute phase. After the patient was stabilized from a neurological perspective, the patient underwent surgical resection of the atrial myxoma with good post-operative recovery. This case report points to the need for neurological symptoms to be stable as a priority for surgery.
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Wang et al. (2024) studied this question.
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