Shrestha, Gentle SunderRimal, AnkitShrestha, Shubha KalyanShrestha, Pramesh SunderAcharya, Subhash Prasad2025-11-062025-11-062022https://hdl.handle.net/20.500.14572/3069Gentle 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, NepalAbstract 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.en-USCardiac tumourMyxomaCardiac surgeryIschemic strokeOther