Myxoma of the left atrium presenting as repeated cerebrovascular disorders.

Authors

  • A Serrano Serviço de Medicina 1., Hospital Curry Cabral, Lisboa.
  • J Machado
  • L P Gonçalves
  • R Proença

DOI:

https://doi.org/10.20344/amp.2969

Abstract

Infarction of the central nervous system secondary to embolism from a left atrial myxoma is a recognized phenomenon. However, a myxoma as the source of an embolus may be overlooked, if, during the evaluation of a patient with a stroke of unknown etiology, an index of suspicion is not present. We report a case of a 57-year old woman presenting three episodes of cerebral infarction always in the same brain territory, suggesting a carotid pathology. The physical examination of the patient only showed a loud S1 with no other sounds and neurologic alterations, namely, right hemiparesia and aphasia. Diagnosis was made by two-dimensional echocardiography and better delineation was obtained by magnetic resonance imaging (MRI). The patient subsequently received a successful ressection of the myxoma. Eighteen months later the patient was well.

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How to Cite

1.
Serrano A, Machado J, Gonçalves LP, Proença R. Myxoma of the left atrium presenting as repeated cerebrovascular disorders. Acta Med Port [Internet]. 1994 Oct. 30 [cited 2024 Nov. 5];7(10):561-3. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/2969

Issue

Section

Arquivo Histórico