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Cardiac myxoma discovery behind chronic carotid occlusion in stroke
Ibrahim Oumarou Hamissou1,2, Jerome Wintzer-Wehekind1
1Department of Interventional Cardiology, Emile Roux Health Care Center, Le Puy-en-Velay, France.
Insights
This case study examines a stroke patient with both carotid artery occlusion and a cardiac myxoma. It highlights the challenges in managing multiple embolic sources, even after successful tumor removal.
Area of Science:
- Neurology
- Cardiology
- Vascular Surgery
Background:
- Cerebral embolism is a significant cause of ischemic stroke.
- Cardiac myxomas are recognized embolic sources, but concurrent carotid artery disease presents unique management complexities.
- Ischemic stroke in a 57-year-old female smoker was linked to two potential embolic sources.
Abstract:
A 57-year-old female smoker presented with a left-sided ischemic stroke, leading to the discovery of two concurrent potential embolic sources: a chronic left internal carotid artery occlusion and a left atrial myxoma. While cardiac myxomas are known sources of cerebral emboli, this case presented a unique management challenge due to the coexisting carotid pathology. Despite successful surgical resection of the myxoma, the patient experienced a subsequent stroke one month postoperatively. This case highlights the complex clinical decision-making required when managing patients with multiple potential sources of cerebral embolism.
