Prevention of Cerebral Embolism Progression by Emergency Surgery of the Left Atrial Myxoma
Joint Authors
Tetsuka, Syuichi
Ikeguchi, Kunihiko
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-04-14
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
A 21-year-old woman developed left hemiparesis during work and was hospitalized.
Her National Institutes of Health Stroke Scale score was 4.
Hyperintense areas in the left basal ganglia, corona radiata, and cortex of the temporal lobe were found by brain diffusion-weighted magnetic resonance imaging, indicating acute cerebral infarction.
Echocardiography showed a giant mass of diameter 7 × 4 cm in the left atrium.
Therefore, she was diagnosed with cerebral embolism due to a left atrial myxoma.
Currently, thrombolytic therapy may continue to be effective because the embolic source may be composed of tumor tissue itself.
In case of atrial myxoma, we considered that the use of tPA as emergency treatment in all patients with infarction by atrial myxoma may be questioned.
Thus, cardiac tumor extraction was performed the next day after hospitalization without thrombolytic therapy.
The excised myxoma measured 7 × 6 × 4 cm.
The patient recovered and her neurological symptoms also improved.
Furthermore, her National Institutes of Health Stroke Scale score improved to 0.
Thirteen days after admission, the patient was discharged from our hospital.
Cardiac myxoma is often associated with a high risk of embolic episodes, which emphasizes the need for prompt surgical excision as soon as the diagnosis is confirmed.
American Psychological Association (APA)
Tetsuka, Syuichi& Ikeguchi, Kunihiko. 2015. Prevention of Cerebral Embolism Progression by Emergency Surgery of the Left Atrial Myxoma. Case Reports in Medicine،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058783
Modern Language Association (MLA)
Tetsuka, Syuichi& Ikeguchi, Kunihiko. Prevention of Cerebral Embolism Progression by Emergency Surgery of the Left Atrial Myxoma. Case Reports in Medicine No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1058783
American Medical Association (AMA)
Tetsuka, Syuichi& Ikeguchi, Kunihiko. Prevention of Cerebral Embolism Progression by Emergency Surgery of the Left Atrial Myxoma. Case Reports in Medicine. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058783
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058783