Surgical removal of cardiac myxomas in patients presenting with stroke or TIA is highly successful with no recurrences at 3 years, highlighting the importance of echocardiography in unexplained cerebral ischemia.
Supports myxoma resection after stroke/TIA; hypothesis-generating given case-report design and short follow-up.
Cardiac myxoma was detected by transthoracic echocardiography in 8 patients (aged 11 to 64 years) who were admitted between 1991 and 1999 with stroke or transient ischemic attacks, representing 80% of the total myxoma cases treated in this period. All patients underwent surgery and the myxomas were successfully removed. There were no recurrences during a mean follow-up of 3.1 years. In the presence of unexplained transient ischemic attack, cerebral infarction, or syncope, this relatively rare cardiac lesion should be suspected and investigated by transthoracic echocardiography.
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Uğurlu et al. (2000) studied this question.
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