Atrial Myxoma Causing Stroke

Naga Srinivas PS; Swamy Kondapally; Sakthi Velayudham; Mugundhan Krishnan

doi:10.5005/jp-journals-10070-7087

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Atrial Myxoma Causing Stroke

Naga Srinivas PS, Swamy Kondapally, Sakthi Velayudham, Mugundhan Krishnan

Keywords : Cardiac magnetic resonance imaging, Left atrial myxoma, Stroke

Citation Information : Srinivas PS N, Kondapally S, Velayudham S, Krishnan M. Atrial Myxoma Causing Stroke. Bengal Physician Journal 2023; 10 (1):9-12.

DOI: 10.5005/jp-journals-10070-7087

License: CC BY-NC 4.0

Published Online: 12-05-2023

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Abstract

Myxoma, though rare but most common among primary cardiac tumors, with the age of onset usually between 30 and 60 years, is more common in females.¹ On one hand atrial myxoma frequently comprises a diagnostic triad of obstructive symptoms, constitutional symptoms, and embolic phenomena. On the other hand, it can be asymptomatic or can present with nonspecific systemic symptoms that may be overlooked. Thereby, cardiac investigations may not be considered, and diagnosis of this rare condition is often missed so that it may present later with more significant embolic disease, such as stroke with neurological deficits, as in the case reported here. A healthy 50-year-old lady developed left hemiparesis with dysarthria. Imaging showed right middle cerebral artery (MCA) territory infarct. Cardiac evaluation revealed left atrial myxoma. The possible mechanism of stroke in this patient is discussed.

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