RESEARCH ARTICLE


Stroke from A Large Left Atrial Myxoma



Hitoshi Hirose*, 1, Benjamin A Youdelman1, John W. C Entwistle2
1 Department of Surgery, Division of Cardiothoracic Surgery, Thomas Jefferson University, Philadelphia, PA;
2 Department of Cardiothoracic Surgery, Drexel University College of Medicine, Philadelphia, PA


© Hirose et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Department of Surgery, Division of Cardiothoracic Surgery, Thomas Jefferson University, 1025 Walnut Street College Building Room 605 Philadelphia, PA 19107, USA; Tel: 215-925-4385; Fax: 215-925-4386; E-mail: genex@nifty.com


Abstract

A 36-year-old male involved in a car accident was found to have an embolic stroke due to a left atrial myxoma. Open heart surgery was delayed 4 weeks to decrease the risk of neurologic complications from the anticoagulation required for cardiopulmonary bypass. After resection of the myxoma, intraoperative transesophageal echocardiography found severe mitral regurgitation, which was repaired.

Key Words: Myxoma, mitral valve disease, stroke, surgery..