Key result
Surgical resection of a left atrial myxoma and closure of an incidental patent foramen ovale led to the complete resolution of neurologic symptoms in a 48-year-old woman.
Case Report (n=1)
This case highlights the rare concomitant presence of a left atrial myxoma and a patent foramen ovale in a patient presenting with a cerebrovascular event, successfully treated with surgical resection and closure.
We report a case of a 48-year-old female who presented initially with an abrupt onset of left facial and hand numbness after her routine yoga with no associated syncope, palpitation, chest pain or dyspnea. She consulted her primary care physician and recommended hospital care for possible stroke. On the day of admission, she complained of left facial and hand hemiparesthesia. Cranial imaging and angiography were unremarkable but echocardiography and cardiac computed tomography revealed left atrial mass. She underwent resection of the left atrial mass with an incidental finding of patent foramen ovale intraoperatively. The left atrial mass was confirmed to be an atrial myxoma. Patient's neurologic complaints resolved towards the end of her hospital course. She was discharged stable with no recurrence of neurologic symptoms on health maintenance evaluation.
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Lasam et al. (2017) conducted a case report in Left atrial myxoma and patent foramen ovale with cerebrovascular event (n=1). Surgical resection of left atrial myxoma and closure of patent foramen ovale was evaluated on Resolution of neurologic symptoms. Surgical resection of a left atrial myxoma and closure of an incidental patent foramen ovale led to the complete resolution of neurologic symptoms in a 48-year-old woman.
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