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An echocardiographic-confirmed case of atrial myxoma causing cerebral embolic ischemic stroke: a case report
1Department of Neurology, University of Texas Southwestern Medical Center, Dallas, Texas, USA. newmachine@dreamwiz.com.
Insights
Atrial myxoma, a common heart tumor, can cause ischemic stroke. Early detection via echocardiography is crucial for preventing serious complications like stroke.
Area of Science:
- Cardiology
- Neurology
- Oncology
Background:
- Myxomas are the most frequent primary cardiac tumors.
- Cardiac myxomas can lead to cardiogenic embolism.
- Complications include syncope, sudden death, and ischemic stroke.
Purpose of the Study:
- To highlight atrial myxoma as a cause of ischemic stroke.
- To emphasize the importance of early myxoma detection.
Main Methods:
- Case report of a 54-year-old female patient.
- Clinical presentation of ischemic stroke.
- Diagnostic confirmation using transesophageal echocardiography.
Main Results:
- The patient's ischemic stroke was caused by an atrial myxoma.
- Transesophageal echocardiography confirmed the diagnosis.
Conclusions:
- Atrial myxoma should be considered in patients presenting with ischemic stroke.
- Echocardiography is vital for diagnosing cardiac myxoma and preventing embolic events.
Abstract:
A myxoma is the most common primary tumor of the heart. It has been reported as the source of a cardiogenic embolism. Therefore, it is important for clinicians to detect the myxoma early via echocardiography to prevent complications, such as syncope, sudden death, and cerebral embolic ischemic stroke. This report presents the case of a 54-year-old female whose clinical manifestation of atrial myxoma was an ischemic stroke. Atrial myxoma was later confirmed as the cause of her symptoms via transesophageal echocardiography.

