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Left ventricular chordae tendinae myxoma causing stroke: A rare finding
Nicholas Suraci1, Rebecca Lee1
1Department of Anesthesiology, Loyola University Medical Center, Maywood, IL, USA.
Annals of Cardiac Anaesthesia
|July 8, 2022
Summary
A rare left ventricular myxoma caused an embolic stroke in a 52-year-old woman, leading to neurological deficits. This case highlights an unusual tumor location and presentation, with limited existing literature.
Area of Science:
- Cardiology
- Neurology
- Pathology
Background:
- Left ventricular myxomas are rare primary cardiac tumors.
- Cardiac tumors can be a source of systemic emboli, leading to cerebrovascular events.
- Embolic stroke presentation necessitates thorough etiological investigation.
Observation:
- A 52-year-old woman presented with acute onset dysarthria and right-sided hemiparesis.
- Initial thrombolytic therapy provided only mild symptom resolution.
- Advanced cardiac imaging revealed a myxoma on the chordae tendinae of the posterior medial papillary muscle.
Findings:
- Transesophageal echocardiography and subsequent pathology confirmed a left ventricular myxoma.
- The tumor's specific location on the chordae tendinae is a rare finding.
- The myxoma was identified as the source of the embolic stroke.
Implications:
- This case underscores the importance of considering cardiac tumors in the differential diagnosis of embolic stroke, especially in younger patients or those with atypical presentations.
- The specific anatomical location of this myxoma offers new insights into cardiac tumor morphology and embolic potential.
- Further research into rare cardiac tumor presentations is warranted to improve diagnostic and therapeutic strategies for embolic stroke.
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