scholarly journals Concomitant Left Atrial Myxoma and Patent Foramen Ovale: Is It an Evolutional Synergy for a Cerebrovascular Event?

2017 ◽  
Vol 8 (1) ◽  
pp. 26-29 ◽  
Author(s):  
Glenmore Lasam ◽  
Roberto Ramirez
Keyword(s):  
Left Atrial ◽  
Patent Foramen Ovale ◽  
Atrial Myxoma ◽  
Cerebrovascular Event ◽  
Foramen Ovale ◽  
Left Atrial Myxoma

scholarly journals P1699 A case of atrial myxoma presenting with acute stroke

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
R Gray ◽  
J Brassil ◽  
N Jepson
Keyword(s):  
Atrial Fibrillation ◽  
Hypertrophic Cardiomyopathy ◽  
Signal Intensity ◽  
Left Atrial ◽  
Patent Foramen Ovale ◽  
Atrial Myxoma ◽  
Right Atrial ◽  
Foramen Ovale ◽  
Apical Hypertrophic Cardiomyopathy ◽  
Right Atrial Myxoma

Abstract A 73-year-old female presented with sudden reduced level of consciousness on the background of rheumatoid arthritis and dyslipidaemia. On examination she had a Glascow Coma Score of 12 and an irregularly irregular pulse. The electrocardiograph confirmed atrial fibrillation and showed widespread T wave inversion. A computed tomography cerebral angiogram showed an acute basilar artery occlusion. She was transferred to a tertiary centre where she had successful endovascular clot retrieval. An urgent transthoracic echocardiogram (figure 1) showed apical hypertrophy, normal systolic function and a large right atrial mass. The left atrial size was normal. A transoesophageal echocardiogram (figure 3) confirmed a large pedunculated mobile mass with a hypermobile septum consistent with a patent foramen ovale. There was no right to left doppler flow, however the atrial mass obstructed the course, and a bubble study was positive. The cardiac magnetic resonance image (figure 2) showed a 47 x 48 mm pedunculated lesion within the right atrium, arising from the intraventricular septum, demonstrating moderate T2 signal intensity, and intermediate T1 signal intensity, with avid enhancement, consistent with a right atrial myxoma. There was increased apical wall thickening at 15mm which confirmed apical hypertrophic cardiomyopathy. An open surgical resection and left atrial appendage ligation was performed on day 11 of admission. Histopathology confirmed an atrial myxoma. She had an excellent neurological recovery with only mild diplopia. The mechanism of stroke was likely atrial fibrillation secondary to increased left atrial pressure from apical hypertrophic cardiomyopathy. However, the unexpected finding of a right atrial myxoma with a corresponding patent foramen ovale provides a second possible mechanism. Abstract P1699 Figure. Right atrial Myxoma

scholarly journals Left atrial myxoma prolapsing through the foramen ovale

2008 ◽  
Vol 9 (4) ◽  
pp. 595-597 ◽  
Author(s):  
Juan José González-Ferrer ◽  
Manolo Carnero ◽  
Vera Lennie Labayru ◽  
Leopoldo Pérez de Isla ◽  
José Luís Zamorano
Keyword(s):  
Left Atrial ◽  
Atrial Myxoma ◽  
Foramen Ovale ◽  
Left Atrial Myxoma

scholarly journals The First Manifestation of a Left Atrial Myxoma as a Consequence of Multiple Left Coronary Artery Embolisms

2017 ◽  
Vol 3 (3) ◽  
pp. 111-117
Author(s):  
Martin Novak ◽  
Petr Fila ◽  
Ota Hlinomaz ◽  
Vita Zampachova
Keyword(s):  
Coronary Artery ◽  
Left Atrial ◽  
Left Coronary Artery ◽  
Systolic Function ◽  
Left Ventricular Systolic Function ◽  
Left Ventricular ◽  
Atrial Myxoma ◽  
Foramen Ovale ◽  
Ventricular Systolic Function ◽  
Left Atrial Myxoma

AbstractA case of multiple embolisms in the left coronary artery as a rare first manifestation of left atrial myxoma is reported. A patient with embolic myocardial infarction and congestive heart failure was treated by percutaneous aspirations and balloon dilatations. Transesophageal echocardiography disclosed a villous myxoma with high embolic potential. Surgical resection of the tumour, suturing of a patent foramen ovale suture and an annuloplasty of the dilated tricuspid annulus was performed the third day after the admission. Recovery of the documented left ventricular systolic function can be explained by resorption of myxomatous material. The patient was discharged ten days after the surgery.

Stroke Prophylaxis by Percutaneous Closure of Patent Foramen Ovale and Left Atrial Appendage

2011 ◽  
Vol 6 (1) ◽  
pp. 67
Author(s):  
Antonio L Bartorelli ◽  
Claudio Tondo ◽  
◽  
Keyword(s):  
Left Atrial ◽  
Patent Foramen Ovale ◽  
Stroke Risk ◽  
Left Atrial Appendage ◽  
Cryptogenic Stroke ◽  
Atrial Appendage ◽  
Foramen Ovale ◽  
Percutaneous Procedures ◽  
Cerebrovascular Events

Innovative percutaneous procedures for stroke prevention have emerged in the last two decades. Transcatheter closure of the patent foramen ovale (PFO) is performed in patients who suffered a cryptogenic stroke or a transient ischaemic attach (TIA) in order to prevent recurrence of thromboembolic events. Percutaneous occlusion of the left atrial appendage (LAA) has been introduced to reduce stroke risk in patients with atrial fibrillation (AF). The role of PFO and LAA in the occurrence of cerebrovascular events and the interventional device-based therapies to occlude the PFO and LAA are discussed.

scholarly journals Cerebral embolism due to left atrial myxoma in a patient presenting with chest pain and ST-segment elevation: a case report

2020 ◽  
Author(s):  
António Fontes ◽  
Nuno Dias-Ferreira ◽  
Anabela Tavares ◽  
Fátima Neves
Keyword(s):  
Myocardial Infarction ◽  
Chest Pain ◽  
Magnetic Resonance ◽  
Left Atrial ◽  
Left Ventricular ◽  
Atrial Myxoma ◽  
Left Atrial Myxoma ◽  
St Segment ◽  
Wide Range ◽  
St Elevation

Abstract Background Myocarditis is an uncommon, potentially life-threatening disease that presents with a wide range of symptoms. In acute myocarditis, chest pain (CP) may mimic typical angina and also be associated with electrocardiographic changes, including an elevation of the ST-segment. A large percentage (20–56%) of myxomas are found incidentally. Case summary A 62-year-old female presenting with sudden onset CP and infero-lateral ST-elevation in the electrocardiogram. The diagnosis of ST-elevation myocardial infarction was presumed and administered tenecteplase. The patient was immediately transported to a percutaneous coronary intervention centre. She complained of intermittent diplopia during transport and referred constitutional symptoms for the past 2 weeks. Coronary angiography showed normal arteries. The echocardiogram revealed moderate to severe left ventricular systolic dysfunction due to large areas of akinesia sparing most of the basal segments, and a mobile mass inside the left atrium attached to the septum. The cardiac magnetic resonance (CMR) suggested the diagnosis of myocarditis with concomitant left atrial myxoma. The patient underwent resection of the myxoma. Neurological evaluation was performed due to mild vertigo while walking and diplopia in extreme eye movements. The head magnetic resonance imaging identified multiple infracentimetric lesions throughout the cerebral parenchyma compatible with an embolization process caused by fragments of the tumour. Discussion Myocarditis can have various presentations may mimic acute myocardial infarction and CMR is critical to establish the diagnosis. Myxoma with embolic complications requires emergent surgery. To the best of our knowledge, this is the first case reported in the applicable literature of a myxoma diagnosed during a myocarditis episode.

scholarly journals Left Atrial Appendage Closure in a Patient With a Patent Foramen Ovale Septal Occluder Device

2021 ◽  
Vol 3 (3) ◽  
pp. 508-511
Author(s):  
Omar Kousa ◽  
Toufik Mahfood-Haddad ◽  
Shantanu M. Patil ◽  
Himanshu Agarwal ◽  
Hussam Abuissa
Keyword(s):  
Left Atrial ◽  
Patent Foramen Ovale ◽  
Left Atrial Appendage ◽  
Atrial Appendage ◽  
Foramen Ovale ◽  
Left Atrial Appendage Closure ◽  
Septal Occluder Device ◽  
Occluder Device

scholarly journals A RARE CASE OF LEFT ATRIAL MYXOMA WITH CORONARY FISTULA IN A PATIENT WITH DYSPNEA ON EXERTION

2021 ◽  
Vol 77 (18) ◽  
pp. 3012
Author(s):  
Phillip Tran ◽  
Hanh D. Le ◽  
Trung M. Tran ◽  
Duy K. Doan ◽  
Huong Nguyen ◽  
...  
Keyword(s):  
Left Atrial ◽  
Rare Case ◽  
Atrial Myxoma ◽  
Coronary Fistula ◽  
Left Atrial Myxoma
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