Effective mechanical thrombectomy in a patient with hyperacute ischemic stroke associated with cardiac myxoma

Seol Hee Baek, Soonchan Park, Nam-Joon Lee, Youngjin Kang, Kyung-Hee Cho

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Ischemic stroke is the most common neurologic manifestation of cardiac myxoma. However, there has been no current guideline on the treatment of hyperacute ischemic stroke due to cardiac myxoma. We describe a patient with hyperacute stroke caused by cardiac myxoma who had a good outcome with rapid recanalization through mechanical thrombectomy. A 46-year-old man was admitted with acute symptoms of right side hemiplegia and global aphasia. Brain computed tomography (CT) angiography showed a T occlusion of the left internal carotid artery. Intravenous recombinant tissue plasminogen activator was administered. However, his clinical symptoms did not improve. Thus, we performed endovascular treatment and had a successful outcome. A pathologic examination of the retrieved clot revealed a tumor emboli from a cardiac myxoma. Transthoracic echocardiogram revealed a left atrial myxoma in which a large mass was attached to the posterior wall of the aorta. The patient's neurologic deficits recovered with the exception of left eye blindness. Reperfusion therapy with mechanical thrombectomy might be safe and effective for the rapid revascularization of large vessel occlusions in hyperacute ischemic stroke, from which the tumor thrombi can be retrieved.

Original languageEnglish
Pages (from-to)e417-e419
JournalJournal of Stroke and Cerebrovascular Diseases
Volume23
Issue number9
DOIs
Publication statusPublished - 2014 Jan 1

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Keywords

  • cardiac myxoma
  • clinical outcome
  • emboli
  • Ischemic stroke
  • mechanical thrombectomy
  • recanalization

ASJC Scopus subject areas

  • Surgery
  • Rehabilitation
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

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