Multiple cerebral and coronary aneurysms in a patient with left atrial myxoma

Hyungjin Kim1, Eun-Ah Park, Whal Lee

  • 1Department of Radiology, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, Korea.

Insights

Cardiac myxomas can cause embolic complications. This case report highlights a rare instance of cardiac myxoma associated with cerebral and coronary artery aneurysms, alongside typical embolic events.

Area of Science:

  • Cardiology
  • Neurology
  • Vascular Medicine

Background:

  • Cardiac myxomas are primary heart tumors, often associated with embolic phenomena.
  • Embolic complications typically affect cerebral and visceral arteries.

Observation:

  • A patient presented with multiple cerebral infarctions.
  • Diagnostic workup revealed a left atrial myxoma.
  • The patient also had a history of renal infarction and presented with cerebral and coronary artery aneurysms.

Findings:

  • This case demonstrates a rare association between cardiac myxoma and cerebral artery aneurysms.
  • It is the first reported case of coronary artery aneurysms linked to cardiac myxoma.

Implications:

  • Cardiac myxomas may present with a broader spectrum of embolic complications than previously recognized.
  • This finding suggests the need for thorough vascular evaluation in patients with cardiac myxoma.
  • Further research is warranted to understand the pathogenesis of myxoma-associated aneurysms.

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