Stroke of a cardiac myxoma origin
AbstractObjective:The clinical features of cardiac myxoma stroke have not been sufficiently described. Debates remain concerning the options and timing of treatment and the clinical outcomes are unknown. This article aims to highlight the pertinent aspects of this rare condition.Methods:Data source...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Cardiovascular
2015-04-01
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| Series: | Brazilian Journal of Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382015000200014&lng=en&tlng=en |
| _version_ | 1811246745958481920 |
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| author | Shi-Min Yuan Gulimila Humuruola |
| author_facet | Shi-Min Yuan Gulimila Humuruola |
| author_sort | Shi-Min Yuan |
| collection | DOAJ |
| description | AbstractObjective:The clinical features of cardiac myxoma stroke have not been sufficiently described. Debates remain concerning the options and timing of treatment and the clinical outcomes are unknown. This article aims to highlight the pertinent aspects of this rare condition.Methods:Data source of the present study came from a comprehensive literature collection of cardiac myxoma stroke in PubMed, Google search engine and Highwire Press for the year range 2000-2014.Results:Young adults, female predominance, single cerebral vessel (mostly the middle cerebral artery), multiple territory involvements and solitary left atrial myxoma constituted the outstanding characteristics of this patient setting. The most common affected cerebral vessel (the middle cerebral artery) and areas (the basal ganglion, cerebellum and parietal and temporal regions) corresponded well to the common manifestations of this patient setting, such as conscious alteration, ataxia, hemiparesis and hemiplegia, aphasia and dysarthria. Initial computed tomography scan carried a higher false negative rate for the diagnosis of cerebral infarction than magnetic resonance imaging did. A delayed surgical resection of cardiac myxoma was associated with an increased risk of potential consequences in particular otherwise arterial embolism. The mortality rate of this patient population was 15.3%.Conclusion:Cardiac myxoma stroke is rare. Often does it affect young females. For an improved diagnostic accuracy, magnetic resonance imaging of the brain and echocardiography are imperative for young stroke patients in identifying the cerebral infarct and determining the stroke of a cardiac origin. Immediate thrombolytic therapy may completely resolve the cerebral stroke and improve the neurologic function of the patients. An early surgical resection of cardiac myxoma is recommended in patients with not large territory cerebral infarct. |
| first_indexed | 2024-04-12T14:58:43Z |
| format | Article |
| id | doaj.art-4b83180e5f424d718ac2709781992635 |
| institution | Directory Open Access Journal |
| issn | 1678-9741 |
| language | English |
| last_indexed | 2024-04-12T14:58:43Z |
| publishDate | 2015-04-01 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| record_format | Article |
| series | Brazilian Journal of Cardiovascular Surgery |
| spelling | doaj.art-4b83180e5f424d718ac27097819926352022-12-22T03:28:09ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery1678-97412015-04-0130222523410.5935/1678-9741.20150022S0102-76382015000200014Stroke of a cardiac myxoma originShi-Min YuanGulimila HumuruolaAbstractObjective:The clinical features of cardiac myxoma stroke have not been sufficiently described. Debates remain concerning the options and timing of treatment and the clinical outcomes are unknown. This article aims to highlight the pertinent aspects of this rare condition.Methods:Data source of the present study came from a comprehensive literature collection of cardiac myxoma stroke in PubMed, Google search engine and Highwire Press for the year range 2000-2014.Results:Young adults, female predominance, single cerebral vessel (mostly the middle cerebral artery), multiple territory involvements and solitary left atrial myxoma constituted the outstanding characteristics of this patient setting. The most common affected cerebral vessel (the middle cerebral artery) and areas (the basal ganglion, cerebellum and parietal and temporal regions) corresponded well to the common manifestations of this patient setting, such as conscious alteration, ataxia, hemiparesis and hemiplegia, aphasia and dysarthria. Initial computed tomography scan carried a higher false negative rate for the diagnosis of cerebral infarction than magnetic resonance imaging did. A delayed surgical resection of cardiac myxoma was associated with an increased risk of potential consequences in particular otherwise arterial embolism. The mortality rate of this patient population was 15.3%.Conclusion:Cardiac myxoma stroke is rare. Often does it affect young females. For an improved diagnostic accuracy, magnetic resonance imaging of the brain and echocardiography are imperative for young stroke patients in identifying the cerebral infarct and determining the stroke of a cardiac origin. Immediate thrombolytic therapy may completely resolve the cerebral stroke and improve the neurologic function of the patients. An early surgical resection of cardiac myxoma is recommended in patients with not large territory cerebral infarct.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382015000200014&lng=en&tlng=enEmboliaArtéria Cerebral MédiaMixomaAcidente Vascular Cerebral |
| spellingShingle | Shi-Min Yuan Gulimila Humuruola Stroke of a cardiac myxoma origin Brazilian Journal of Cardiovascular Surgery Embolia Artéria Cerebral Média Mixoma Acidente Vascular Cerebral |
| title | Stroke of a cardiac myxoma origin |
| title_full | Stroke of a cardiac myxoma origin |
| title_fullStr | Stroke of a cardiac myxoma origin |
| title_full_unstemmed | Stroke of a cardiac myxoma origin |
| title_short | Stroke of a cardiac myxoma origin |
| title_sort | stroke of a cardiac myxoma origin |
| topic | Embolia Artéria Cerebral Média Mixoma Acidente Vascular Cerebral |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382015000200014&lng=en&tlng=en |
| work_keys_str_mv | AT shiminyuan strokeofacardiacmyxomaorigin AT gulimilahumuruola strokeofacardiacmyxomaorigin |