Publication: Recurrent Ischemic Stroke in a Patient with Atrial Myxoma: A Case Report
Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Cardiac myxoma is an infrequent but curable cause of ischemic stroke. There are no guidelines addressing the timing of surgery to excise the tumour or for the use of thrombolysis or thrombectomy. We present a case with an ischemic stroke which was diagnosed to have atrial myxoma. She was planned for surgical excision of the tumour but suffered from a second ischemic stroke while awaiting surgery. This article aims to highlight vital aspects of this rare phenomenon and discuss the prospects of the timing of surgery and neurosurgical intervention. The importance of a proper cardiac evaluation in all cases of stroke is highlighted.
Description
Gentle Sunder Shrestha
Department of Critical Care Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
Ankit Rimal
Department of Critical Care Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
Shubha Kalyan Shrestha
Department of Anaesthesiology and Intensive Care, Bir Hospital, Kathmandu, Nepal
Pramesh Sunder Shrestha
Department of Critical Care Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
Subhash Prasad Acharya
Department of Critical Care Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
Keywords
Cardiac tumour, Myxoma, Cardiac surgery, Ischemic stroke