Key result
A middle-aged woman developed recurrent, non-aneurysmal intraparenchymal haemorrhages following resection of a left atrial myxoma, without primary disease recurrence or malignant features.
Case Report (n=1)
This case highlights an incredibly rare presentation of recurrent non-aneurysmal intraparenchymal hemorrhages following atrial myxoma resection, without primary disease recurrence or histological evidence of myxomatous features.
Alerts clinicians to rare late hemorrhages post-myxoma resection; hypothesis-generating for mechanisms beyond recurrence.
Atrial myxomas are the commonest cardiac neoplasms. The most common extra-cardiac manifestations are embolic infarcts from tumour embolisation. Infrequently, aneurysm formation and intracranial haemorrhages also occur. Incredibly rare are space-occupying lesions and malignant transformation. The authors report a case of a previously healthy middle-aged lady who developed recurrent and expanding intraparenchymal haemorrhages following resection of a left atrial myxoma without any primary disease recurrence. The case described is completely different from the described literature in that her intracranial vasculature was free of aneurysms on angiography despite central nervous system haemorrhage and no myxomatous or malignant features were seen on histology of the resected symptomatic occipital lesion. The authors compare this case to the available literature and also provide a literature review.
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Raza et al. (2012) conducted a case report in Atrial myxoma and recurrent intraparenchymal haemorrhages (n=1). Resection of left atrial myxoma was evaluated on Recurrent and expanding intraparenchymal haemorrhages. A middle-aged woman developed recurrent, non-aneurysmal intraparenchymal haemorrhages following resection of a left atrial myxoma, without primary disease recurrence or malignant features.
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