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Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...
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Related Experiment Video

Updated: Jul 16, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
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Published on: June 11, 2019

Atrial myxoma presenting as stroke

F Barber, P Rosen, T Okin

    Annals of Emergency Medicine
    |June 1, 1982
    PubMed
    Summary

    Atrial myxoma, a rare heart tumor, can cause stroke by releasing emboli. Early echocardiography is crucial for diagnosing stroke causes, even in unexpected cases like this patient.

    Area of Science:

    • Cardiology
    • Neurology
    • Oncology

    Background:

    • Atrial myxoma is a rare primary cardiac tumor, often asymptomatic until complications arise.
    • Cerebrovascular accidents (CVAs), or strokes, can have various etiologies, including embolic events.
    • Aortic regurgitation is a separate valvular condition that can impact cardiac function.

    Observation:

    • A 54-year-old woman presented with symptoms consistent with an acute cerebrovascular accident.
    • Echocardiography revealed an unsuspected atrial myxoma as the source of embolic material.
    • The patient also had unrelated aortic regurgitation.

    Findings:

    • Emboli originating from the atrial myxoma were identified as the cause of the patient's stroke.
    • Surgical resection of the atrial myxoma was performed.

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  • Despite tumor removal, the patient experienced persistent left hemiparesis.

    • Implications:

    • Highlights the potential for rare conditions like atrial myxoma to present as common neurological emergencies.
    • Underscores the critical role of echocardiography in the diagnostic work-up of stroke patients, particularly when typical causes are not evident.
    • Emphasizes the challenges in achieving complete recovery even after successful treatment of the underlying cause.