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Published on: June 11, 2019
A case of cerebral embolism with metastatic chondrosarcoma in the left atrium
Hideki Oizumi1, Ryota Tanaka1, Hideki Shimura1
1Department of Neurology, Juntendo University Urayasu Hospital, Chiba, Japan.
Insights
A rare metastatic cardiac chondrosarcoma caused brain emboli. Surgical removal of the left atrial tumor was successful, preventing further emboli and ensuring the patient
Area of Science:
- Cardiology
- Oncology
- Neurology
Background:
- Cardiac tumors are infrequent but significant causes of systemic embolism.
- Metastatic tumors to the heart, particularly chondrosarcoma, present unique clinical challenges.
Observation:
- A patient presented with multiple cerebral emboli originating from a metastatic chondrosarcoma in the left atrium.
- Chest computed tomography revealed a large left atrial and pulmonary vein mass.
Findings:
- Surgical resection of the metastatic cardiac chondrosarcoma was successfully performed.
- The patient experienced a favorable outcome with no neurological deficits post-surgery.
Implications:
- This case highlights the importance of considering cardiac tumors as a source of paradoxical embolism.
- Successful surgical intervention can prevent catastrophic embolic events and improve patient prognosis.
- Early diagnosis and treatment of metastatic cardiac tumors are crucial for managing associated embolic complications.
Abstract:
Cardiac tumor is a rare, but clinically important source of cerebral embolism. We report a case of metastatic chondrosarcoma in the left atrium with multiple cerebral emboli. A computed tomography scan of the chest revealed a large mass in the left atrium and pulmonary vein. The patient underwent heart surgery to remove the metastatic chondrosarcoma in the left atrium, to prevent the formation of further systemic emboli and possible sudden death. The cardiac tumor resection was successful, and the patient was discharged from the hospital without any handicap. This is a rare case of metastatic cardiac tumor that was a source of emboli into the brain and was eradicated.
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