Literature DB >> 18612442

Biatrial myxoma and cerebral ischemia successfully treated with intravenous thrombolytic therapy and surgical resection.

Morhaf Ibrahim1, Cezar Iliescu, Hazim J Safi, Maximilian L Buja, David D McPherson, Francisco Fuentes.   

Abstract

We report what we believe is the 1st case in the medical literature in which an intravenous thrombolytic agent was used successfully--without massive intracranial bleeding--to treat acute stroke induced by atrial myxoma. Our patient, who had biatrial myxomas with a dual blood supply from the right coronary artery, presented with cerebral ischemia. Transesophageal echocardiography was essential in clarifying the diagnosis and in helping to direct surgical treatment.

Entities:  

Keywords:  Cerebrovascular accident; echocardiography, transesophageal; embolism; heart atria/surgery; heart neoplasms/complications/diagnosis/surgery; intracranial embolism and thrombosis/etiology/drug therapy; myxoma; thrombolytic therapy; tissue plasminogen activator

Mesh：

Substances：

Year:  2008        PMID： 18612442      PMCID： PMC2435448     

Source DB:  PubMed          Journal:  Tex Heart Inst J        ISSN： 0730-2347


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  13 in total

1.  The multifaceted manifestations of cardiac tumors.

Authors:  L Maximilian Buja
Journal:  Tex Heart Inst J       Date:  2012

Review 2.  How does knowledge of the blood supply to an intracardiac tumour help?

Authors:  Prabha Nini Gupta; Nishant Sagar; Ritesh Ramachandran; Velenurre Rajagopalan Rajeshekharan
Journal:  BMJ Case Rep       Date:  2019-02-25

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Authors:  Ido van den Wijngaard; Marieke Wermer; Marianne van Walderveen; Natalie Wiendels; Cacha Peeters-Scholte; Geert Lycklama À Nijeholt
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4.  Cerebral embolism associated with left atrial myxoma that was treated with thrombolytic therapy.

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Journal:  Case Rep Neurol       Date:  2012-01-25

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Authors:  Girish Baburao Kulkarni; Ravi Yadav; Veerendrakumar Mustare; Sailesh Modi
Journal:  Ann Indian Acad Neurol       Date:  2014-10       Impact factor: 1.383

9.  Biatrial thrombi resembling myxoma regressed after prolonged anticoagulation in a patient with mitral stenosis: a case report.

Authors:  Hou Tee Lu; Rusli Nordin; Norliza Othman; Chun Ngok Choy; Ji Yen Kam; Benjamin Cheang-Leng Leo; Gunasekaran Ramsamy; Teck Hwa Goh
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10.  Diagnosing obstructive shock: Echocardiography is the third eye of a vigilant intensivist.

Authors:  Aditya Lyall; Supradip Ghosh; Kirtee Mishra
Journal:  Indian J Crit Care Med       Date:  2016-09
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