Key result
Surgical excision successfully removed a 17x32 mm left atrial myxoma in a 60-year-old female presenting with a recent non-hemorrhagic ischemic stroke, resulting in recovery without neurological complications.
Why the study?
It is important to consider left atrial myxoma when evaluating the differential diagnosis of uncommon ischemic stroke.
Case Report (n=1)
No
This case highlights the importance of considering left atrial myxoma as a differential diagnosis for ischemic stroke, demonstrating successful management via surgical excision.
Prompts echocardiography in unexplained stroke; leaves open prospective data on myxoma prevalence.
Introduction: Up to 3 out of every 1000 patients may develop an atrial myxoma, the most unusual benign primary heart tumor. The morbidity and death of patients are significantly impacted by these malignancies. Myxoma is the least common primary cardiac neoplasm. Between 0.001 0% and 0.3 0% of autopsies reveal heart malignancies. Even when the ischemic stroke is uncommon, it is still important to consider the probable pattern of left atrial myxoma disclosure while making a stroke differential diagnosis. Case presentation: A case of rapidly growing left atrial myxoma in a 60-year-old female who was suffering from a stroke 15 days ago, she started complaining of breathlessness and chest tightness and incidentally going through transthoracic echocardiography reveals that a large left atrial myxoma. she transferred to cardiovascular thoracic surgery department for further treatment. after all investigation, they planned for open-heart surgery to remove of LA mass. Conclusion: The superior portion of the heart can develop an atrial myxoma, a benign growth, on either the left or right side. Atrial myxoma can have several negative effects if untreated, including irregular heartbeat, pulmonary edema, and blood clots termed emboli (embolisms) that block the heart's blood vessels and impede blood flow. A targeted functional impairment is brutally imposed as part of an ischemic stroke. The prompt surgical removal of a rapidly expanding myxoma that is probably a malignant tumor may be necessary. They may show up as a variety of neurologic conditions, such as ischemic stroke. The most common neurologic symptom of heart malignancies is ischemic stroke.
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Raut et al. (2023) conducted a case report in Left atrial myxoma and ischemic stroke (n=1). Surgical excision (median sternotomy) was evaluated on Clinical recovery and tumor removal. Surgical excision successfully removed a 17x32 mm left atrial myxoma in a 60-year-old female presenting with a recent non-hemorrhagic ischemic stroke, resulting in recovery without neurological complications.
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