Open AccessA rare case of a big left ventricular myxoma presenting with a cerebrovascular stroke
Author(s) -
Hamdy Mahmoud,
Ihab Moursi
Publication year - 2014
Publication title -
the egyptian heart journal /the egyptian heart journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.212
H-Index - 9
eISSN - 2090-911X
pISSN - 1110-2608
DOI - 10.1016/j.ehj.2014.03.005
Subject(s) - medicine , myxoma , stroke (engine) , cardiac tumors , neurological deficit , pathological , cardiology , radiology , aortic valve , surgery , mechanical engineering , engineering
Cardiac myxomas are by far the most common primary tumors of the heart. Left ventricular (LV) myxomas are extremely rare with only 37 cases reported in the literature up to 1996. Patients with myxomas can have a wide range of symptoms. Embolic event and/or cerebrovascular stroke can be the presenting scenario.Case presentationA 35-year-old Asian male patient presented with a clinical picture of an acute cerebrovascular stroke. A routine trans-thoracic echocardiography showed a big left ventricular grape-like mass attached to the inferior septum and bulging through the aortic valve during systole. Surgical resection of the tumor done successfully and the histo-pathological examination of the resected tumor confirmed the diagnosis of myxoma. After surgery, the patient showed complete improvement of his neurological status and went home three weeks later free from any neurological deficit.ConclusionLeft ventricular (LV) myxomas are extremely rare. Cerebrovascular stroke can be the presenting symptom. Surgical resection is the treatment of choice