Left atrial myxoma as a rare cause of stroke
Cerebrovascular events may attribute to the fragmentation of a cardiac tumor. Due to the small number of reported cases of large vascular occlusion-acute ischemic stroke (LVO-AIS) associated with atrial myxoma, current guidelines still follow the principle of intravenous thrombolysis priority, even...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Heliyon |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844023111054 |
| _version_ | 1797336889143853056 |
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| author | Xindi Wu Tongyu Chen Yan Han Ke Wang Jia Zhou |
| author_facet | Xindi Wu Tongyu Chen Yan Han Ke Wang Jia Zhou |
| author_sort | Xindi Wu |
| collection | DOAJ |
| description | Cerebrovascular events may attribute to the fragmentation of a cardiac tumor. Due to the small number of reported cases of large vascular occlusion-acute ischemic stroke (LVO-AIS) associated with atrial myxoma, current guidelines still follow the principle of intravenous thrombolysis priority, even if LVO-AIS patients are eligible for mechanical thrombectomy, and have not recommended the timing of cardiac surgery or preoperative anticoagulation and antithrombotic therapy. Surgical removal is the definitive therapy for cardiac myxomas, especially for left-sided myxomas. With this case, we aim to demonstrate the main challenges that clinicians may encounter when dealing with patients with AIS secondary to cardiac myxoma: the difficulties with clinical diagnosis, strategies for reperfusion therapy, and therapeutic management of cardiac myxoma. |
| first_indexed | 2024-03-08T09:01:28Z |
| format | Article |
| id | doaj.art-54ac5a4fb53044a0bbcd0dab21d6d04f |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-03-08T09:01:28Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-54ac5a4fb53044a0bbcd0dab21d6d04f2024-02-01T06:34:02ZengElsevierHeliyon2405-84402024-01-01101e23897Left atrial myxoma as a rare cause of strokeXindi Wu0Tongyu Chen1Yan Han2Ke Wang3Jia Zhou4Department of Intensive Care Unit, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine affiliated to Shanghai Traditional Chinese Medicine, Shanghai, ChinaDepartment of Cardiothoracic Surgery, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine affiliated to Shanghai Traditional Chinese Medicine, Shanghai, ChinaDepartment of Neurology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine affiliated to Shanghai Traditional Chinese Medicine, Shanghai, ChinaDepartment of Clinical Research Institute of Acupuncture and Anaesthetic, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine affiliated to Shanghai Traditional Chinese Medicine, Shanghai, ChinaDepartment of Cardiothoracic Surgery, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine affiliated to Shanghai Traditional Chinese Medicine, Shanghai, China; Department of Clinical Research Institute of Acupuncture and Anaesthetic, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine affiliated to Shanghai Traditional Chinese Medicine, Shanghai, China; Corresponding author. Department of Cardiothoracic Surgery, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine affiliated to Shanghai Traditional Chinese Medicine, Shanghai, China.Cerebrovascular events may attribute to the fragmentation of a cardiac tumor. Due to the small number of reported cases of large vascular occlusion-acute ischemic stroke (LVO-AIS) associated with atrial myxoma, current guidelines still follow the principle of intravenous thrombolysis priority, even if LVO-AIS patients are eligible for mechanical thrombectomy, and have not recommended the timing of cardiac surgery or preoperative anticoagulation and antithrombotic therapy. Surgical removal is the definitive therapy for cardiac myxomas, especially for left-sided myxomas. With this case, we aim to demonstrate the main challenges that clinicians may encounter when dealing with patients with AIS secondary to cardiac myxoma: the difficulties with clinical diagnosis, strategies for reperfusion therapy, and therapeutic management of cardiac myxoma.http://www.sciencedirect.com/science/article/pii/S2405844023111054Cardiac myxomaCardiovascular eventLarge vascular occlusion-acute ischemic stroke (LVO-AIS)Mechanical thrombectomy (MT)Case report |
| spellingShingle | Xindi Wu Tongyu Chen Yan Han Ke Wang Jia Zhou Left atrial myxoma as a rare cause of stroke Heliyon Cardiac myxoma Cardiovascular event Large vascular occlusion-acute ischemic stroke (LVO-AIS) Mechanical thrombectomy (MT) Case report |
| title | Left atrial myxoma as a rare cause of stroke |
| title_full | Left atrial myxoma as a rare cause of stroke |
| title_fullStr | Left atrial myxoma as a rare cause of stroke |
| title_full_unstemmed | Left atrial myxoma as a rare cause of stroke |
| title_short | Left atrial myxoma as a rare cause of stroke |
| title_sort | left atrial myxoma as a rare cause of stroke |
| topic | Cardiac myxoma Cardiovascular event Large vascular occlusion-acute ischemic stroke (LVO-AIS) Mechanical thrombectomy (MT) Case report |
| url | http://www.sciencedirect.com/science/article/pii/S2405844023111054 |
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