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[Cardiac myxomas may cause cerebral aneurysms]

Frederik Winsløw1, Per Meden, Marie Elisabeth Cortsen

  • 1Neurologisk Afdeling N, Bispebjerg Hospital, -Bispebjerg bakke 23, 2400 København NV. pmed0001@bbh.regionh.dk.

Ugeskrift for Laeger
|November 15, 2014
PubMed

Insights

Cardiac myxoma resection can rarely lead to cerebral aneurysms. This case highlights a patient who developed multiple brain aneurysms and intracranial hemorrhage a year after myxoma removal.

Area of Science:

  • Neurology
  • Cardiology
  • Vascular Surgery

Background:

  • Cardiac myxomas are primary heart tumors, rarely associated with systemic embolization.
  • Neurological complications from cardiac myxomas are uncommon, typically presenting as stroke or transient ischemic attacks.

Observation:

  • A 50-year-old male presented with symptoms of intracranial hemorrhage.
  • Imaging revealed multiple bilateral middle cerebral artery aneurysms.
  • The patient had undergone resection of a cardiac myxoma one year prior.

Findings:

  • The patient developed cerebral aneurysms post-cardiac myxoma resection.
  • Digital subtraction angiography confirmed multiple fusiform intracranial aneurysms.
  • The presentation suggests a potential link between cardiac myxoma and aneurysm formation.

Implications:

  • This case underscores the importance of considering neurological complications after cardiac myxoma surgery.
  • Further research into the molecular mechanisms linking cardiac myxomas to aneurysm development is warranted.
  • Enhanced surveillance for vascular abnormalities may be beneficial in patients with a history of cardiac myxoma.

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