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Resection of left ventricular myxoma after embolic stroke
Marcus Vinicius Ferraz de Arruda1, Domingo Marcolino Braile, Marcos Rogério Joaquim
1Hospital dos Fornecedores de Cana, Avenida Barão de Valença 716, Piracicaba. vinicius@sbccv.org.br
Insights
A rare left ventricular myxoma caused an embolic ischemic stroke in a young man. Surgical resection of the cardiac tumor was successful, highlighting the importance of considering unusual locations for heart tumors.
Area of Science:
- Cardiology
- Oncology
- Neurology
Background:
- Cardiac myxoma is the most common primary heart tumor, typically found in the left atrium.
- Symptoms vary, with dyspnea and embolism being the most frequent clinical presentations.
- Myxomas can arise from any heart chamber, though left atrial origin is most common.
Observation:
- A young male patient presented with an embolic ischemic stroke.
- Diagnostic imaging revealed a large cardiac myxoma located in the left ventricle.
- This left ventricular location is considered rare for cardiac myxomas.
Findings:
- The patient underwent surgical resection of the left ventricular myxoma three weeks post-stroke.
- The tumor was successfully removed without fragmentation.
- Surgical treatment proved effective in managing the cardiac tumor.
Implications:
- This case underscores the rarity of left ventricular myxomas.
- It highlights the potential for cardiac myxomas, regardless of location, to cause significant embolic events like stroke.
- Early diagnosis and surgical intervention are crucial for favorable outcomes in patients with cardiac myxoma.
Abstract:
Cardiac myxoma is the most common primary tumor of the heart. The tumor is located mainly in the left atrium but can arise from any heart chamber. Clinical symptoms are variable but dyspnea and embolism are the most frequent. We report a case of a young man that had embolic ischemic stroke caused by a large left ventricular myxoma. The patient underwent surgery three weeks after the stroke. The tumor was carefully resected without fragmentation. Surgical treatment was effective. We emphasize the rarity of this location together with a review of the current literature.
