Key result
Analysis of 49 cases of left atrial myxoma showed that delayed neurologic complications, such as aneurysm formation and hemorrhage, can occur after surgical removal of the primary tumor.
Why the study?
What are the delayed neurologic complications of left atrial myxoma after surgical removal?
Case Report (n=49)
What are the delayed neurologic complications of left atrial myxoma after surgical removal?
Patients with left atrial myxoma remain at risk for delayed neurologic complications such as aneurysm formation and hemorrhage even after surgical removal of the tumor.
May warrant extended neurologic surveillance after myxoma resection; leaves open optimal protocols and true incidence.
We studied the delayed neurologic complications of left atrial myxoma in 2 patients and analyzed 47 previously published cases. Embolic cerebral infarctions may occur before surgical removal of the primary cardiac tumor, but aneurysm formation and hemorrhage may be delayed, whether or not there is evidence of neurologic disorder at the time of initial surgery. The true incidence of these delayed complications is unknown. Resultant aneurysms may show progressive enlargement, and treatment with doxorubicin failed to prevent aneurysm enlargement in one patient. Better guidelines are needed for clinical management in these patients.
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Roeltgen et al. (1981) conducted a case report in Left atrial myxoma (n=49). Analysis of 49 cases of left atrial myxoma showed that delayed neurologic complications, such as aneurysm formation and hemorrhage, can occur after surgical removal of the primary tumor.
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