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Ventricular myxoma presenting as acute visual loss
W S Abo-Auda1, B S Chidambaram, K Baker
1Department of Internal Medicine, James H. Quillen College of Medicine, East Tennessee State University, Johnson City 37614, USA.
Tennessee Medicine : Journal of the Tennessee Medical Association
|October 22, 1998
Summary
This case report details a rare association between cardiac myxoma and testicular seminoma. Successful surgical removal of the left ventricular myxoma prevented recurrence and resolved visual loss.
Area of Science:
- Cardiology
- Neurology
- Oncology
Background:
- Cardiac myxomas are rare primary tumors of the heart, often presenting with embolic phenomena.
- Testicular seminoma is a common germ cell tumor of the testis.
Observation:
- A patient presented with acute visual loss due to embolization of a left ventricular myxoma to the left posterior cerebral artery.
- The patient had a prior history of testicular seminoma.
Findings:
- Surgical resection of the left ventricular myxoma was successful.
- Follow-up echocardiography at 21 months showed no evidence of tumor recurrence.
- This represents the first reported case associating cardiac myxoma with testicular seminoma.
Implications:
- Highlights the potential for cardiac myxomas to cause cerebrovascular events.
- Suggests a possible, albeit rare, link between cardiac myxomas and testicular germ cell tumors.
- Emphasizes the importance of thorough patient history and multidisciplinary management in complex cases.
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