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Stroke from a large left atrial myxoma.

Hirose H, Youdelman BA, Entwistle JW - Open Cardiovasc Med J (2008)

Bottom Line: A 36-year-old male involved in a car accident was found to have an embolic stroke due to a left atrial myxoma.Open heart surgery was delayed 4 weeks to decrease the risk of neurologic complications from the anticoagulation required for cardiopulmonary bypass.After resection of the myxoma, intraoperative transesophageal echocardiography found severe mitral regurgitation, which was repaired.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Division of Cardiothoracic Surgery, Thomas Jefferson University, Philadelphia, PA, USA. genex@nifty.com

ABSTRACT
A 36-year-old male involved in a car accident was found to have an embolic stroke due to a left atrial myxoma. Open heart surgery was delayed 4 weeks to decrease the risk of neurologic complications from the anticoagulation required for cardiopulmonary bypass. After resection of the myxoma, intraoperative transesophageal echocardiography found severe mitral regurgitation, which was repaired.

No MeSH data available.


Related in: MedlinePlus

Preoperative transesophageal echocardiography shows a large left atrial mass (55 x 40 mm).
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Figure 1: Preoperative transesophageal echocardiography shows a large left atrial mass (55 x 40 mm).

Mentions: A 36-year-old-male with no significant medical history was brought into the emergency department by ambulance after being involved in a motor vehicle accident. He stated that he had experienced sudden onset of left sided numbness and weakness while driving, and lost control of the car. On admission, he was alert and oriented but had a mild expressive aphasia. His vital signs were stable. Heart sounds were regular with no murmur. The chest x-ray showed no signs of intrathoracic injury. The initial head CT scan was negative. No carotid stenosis was found by ultrasound. Transthoracic echocardiography showed left atrial mass and subsequently performed transesophageal echocardiography confirmed a large pedunculated mass in the left atrium protruding into the left ventricle though the mitral valve (Fig. 1). There was no mitral valve regurgitation. He was admitted to the intensive care unit for monitoring. Cardiothoracic surgical consultation was obtained.


Stroke from a large left atrial myxoma.

Hirose H, Youdelman BA, Entwistle JW - Open Cardiovasc Med J (2008)

Preoperative transesophageal echocardiography shows a large left atrial mass (55 x 40 mm).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2627525&req=5

Figure 1: Preoperative transesophageal echocardiography shows a large left atrial mass (55 x 40 mm).
Mentions: A 36-year-old-male with no significant medical history was brought into the emergency department by ambulance after being involved in a motor vehicle accident. He stated that he had experienced sudden onset of left sided numbness and weakness while driving, and lost control of the car. On admission, he was alert and oriented but had a mild expressive aphasia. His vital signs were stable. Heart sounds were regular with no murmur. The chest x-ray showed no signs of intrathoracic injury. The initial head CT scan was negative. No carotid stenosis was found by ultrasound. Transthoracic echocardiography showed left atrial mass and subsequently performed transesophageal echocardiography confirmed a large pedunculated mass in the left atrium protruding into the left ventricle though the mitral valve (Fig. 1). There was no mitral valve regurgitation. He was admitted to the intensive care unit for monitoring. Cardiothoracic surgical consultation was obtained.

Bottom Line: A 36-year-old male involved in a car accident was found to have an embolic stroke due to a left atrial myxoma.Open heart surgery was delayed 4 weeks to decrease the risk of neurologic complications from the anticoagulation required for cardiopulmonary bypass.After resection of the myxoma, intraoperative transesophageal echocardiography found severe mitral regurgitation, which was repaired.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Division of Cardiothoracic Surgery, Thomas Jefferson University, Philadelphia, PA, USA. genex@nifty.com

ABSTRACT
A 36-year-old male involved in a car accident was found to have an embolic stroke due to a left atrial myxoma. Open heart surgery was delayed 4 weeks to decrease the risk of neurologic complications from the anticoagulation required for cardiopulmonary bypass. After resection of the myxoma, intraoperative transesophageal echocardiography found severe mitral regurgitation, which was repaired.

No MeSH data available.


Related in: MedlinePlus