Why the study?
The surgical resection timing of left atrial myxoma remains controversial regarding the risk of further embolic phenomena with delayed surgery versus hemorrhagic transformation during early surgery.
Prompt surgical excision of a left atrial myxoma in the setting of acute ischemic stroke can be safely performed without hemorrhagic transformation in carefully selected patients with low bleeding risk.
May support early myxoma excision post-stroke in low-bleed-risk patients; leaves open need for prospective data before practice change.
The surgical resection timing of left atrial (LA) myxoma is still controversial in concern for the risk of further embolic phenomena if delayed surgery versus hemorrhagic transformation during early surgery. We describe a case of 60-year-old man without significant past medical history admitted with two-day of double vision and found to have LA myxoma. Multiple factors including clinical aspects and comorbidities should be evaluated to decide the favorable management.
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Bui et al. (2021) studied this question.
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