Left atrial myxoma in a patient with atrial fibrillation following ischemic stroke – Case report
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Department of Cardiology, Provincial Specialist Hospital in Olsztyn, Poland
Department of Anatomy, Faculty of Medical Sciences, University of Warmia and Mazury in Olsztyn, Poland
Faculty of Medical Sciences, University of Warmia and Mazury in Olsztyn, Poland
Department of Radiology and Medical Imaging, Provincial Specialist Hospital in Olsztyn, Poland
Submission date: 2014-10-29
Acceptance date: 2016-03-14
Online publication date: 2016-03-28
Publication date: 2020-03-24
Corresponding author
Sonia J. Konsek   

Żorska 140B, 44-203 Rybnik, Poland. Tel.: +48 606 973 348.
Pol. Ann. Med. 2016;23(2):147-150
Myxoma is the most common tumor of the heart, usually localized in the left atrium. It usually occurs in subjects between the third and sixth decade of life. It causes systemic and cardiovascular symptoms. It may be the cause of thromboembolic events.

The aim of this work is to present a case of ischemic stroke as a first clinical manifestation of myxoma and draw attention to diagnostic problems of left atrial lesions.

Case report:
A 63-year-old female following ischemic stroke with mixed aphasia and atrial fibrillation was admitted for diagnosis of pathological left atrial lesion.

Results and discussion:
Histopathological examination confirmed left atrial myxoma. Differential diagnosis of pathological lesions in heart cavities is often very difficult. Myxoma, which is a benign cardiac tumor, is frequently confused with thrombus which prevents the implementation of proper treatment and causes various cardiovascular complications, thromboembolic events and systemic symptoms.

In case of ischemic stroke and atrial fibrillation in subjects over the age of 60 years myxoma should be considered as a potential cause of these clinical conditions.

None declared.
Negi RC, Chauhan V, Sharma B, Bhardwaj R, Thakur S. Atrial myxoma: a rare cause of ischemic stroke. J Assoc Physicians India. 2013;61(4):280–282.
Yoo M, Graybeal DF. An echocardiographic-confirmed case of atrial myxoma causing cerebral embolic ischemic stroke: a case report. Cases J. 2008;1:96.
Biswas A, Thakur AK. An unusual presentation of atrial myxoma in an elderly patient: a case report. Cases J. 2008;1:384.
Yeh HH, Yang CC, Tung WF, Wang HF, Tung JN. Young stroke, cardiac myxoma, and multiple emboli: a case report and literature review. Acta Neurol Taiwan. 2006;15(3):201–205.
Novendstern SL, Sillima SL, Booth RP. Cerebrovascular complications of atrial myxoma. Hosp Physician. 2001;8:39–42.
Herbst M, Wattjes MP, Urbach H, et al. Cerebral embolism from left atrial myxoma leading to cerebral and retinal aneurysms: a case report. AJNR Am J Neuroradiol. 2005;26(3):666–669.
Bajraktari G, Emini M, Berisha V, et al. Giant left atrial myxoma in an elderly patient: natural history over a 7-year period. J Clin Ultrasound. 2006;34(9):461–463.
Saritas A, Emet M, Kocaturk H, Aslan S, Cakir ZG. Atrial myxoma presenting with aphasia alone: a case report. Hong Kong J Emerg Med. 2009;16(3):168–171.
Dias RR, Fernandes F, Ramires FJ, Mady C, Albuquerque CP, Jatene FB. Mortality and embolic potential of cardiac tumors. Arq Bras Cardiol. 2014;103(1):13–18.
Lee VH, Connolly HM, Brown Jr RD. Central nervous system manifestations of cardiac myxoma. Arch Neurol. 2007;64(8):1115–1120.
Zoni-Berisso M, Lercari F, Carazza T, Domenicucci S. Epidemiology of atrial fibrillation: European perspective. Clin Epidemiol. 2014;6:213–220.
Kyeong-Hee J, Dae-Hee S, Changkun L, Jin-Kun J, Sangsig C, San-Yong Y. Left atrial mass with stalk: thrombus or myxoma? J Cardiovasc Ultrasound. 2010;18(4):154–156.
Hoey ET, Mankad K, Puppala S, Gopalan D, Sivananthan MU. MRI and CT appearances of cardiac tumours in adults. Clin Radiol. 2009;64(12):1214–1230.
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