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Cerebrovascular Accident: An Initial Presentation of Atrial Myxoma in a Young Female

Nkemputaife P Onyechi1, Henry C Egbuchiem1, James P Cappello1

  • 1Internal Medicine, University Hospitals Geauga Medical Center, Cleveland, USA.

Cureus
|February 13, 2023
PubMed

Insights

Primary cardiac tumors called atrial myxomas are common, with most in the left atrium. This case highlights an unusual presentation of a left atrial myxoma in a young female causing a neurovascular deficit.

Area of Science:

  • Cardiology
  • Oncology
  • Neurology

Background:

  • Myxomas constitute approximately 50% of primary cardiac tumors.
  • Most atrial myxomas (75%) are found in the left atrium, while 25% occur in the right atrium.
  • These tumors can be sporadic or familial and are graded as severe based on size, patient demographics, and embolic/occlusive potential.

Observation:

  • A case study involving a young female patient is presented.
  • The patient exhibited an atypical presentation of a left atrial myxoma.
  • A new-onset neurovascular deficit was observed in the patient.

Findings:

  • The study discusses an unusual case of left atrial myxoma.
  • The myxoma's presentation was linked to a new neurovascular deficit.
  • Factors contributing to the severity classification of atrial myxomas are reviewed.

Implications:

  • This case underscores the importance of considering cardiac tumors in the differential diagnosis of neurological deficits.
  • Understanding the risk factors for severe atrial myxomas can guide clinical management.
  • Further research into the embolic potential and neurological complications of atrial myxomas is warranted.

Keywords:
cvaechocardiogramembolileft atriummyxomaneurovascular deficits

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