Atrial Myxoma – An unusual cause of ischemic stroke in young

• Main Authors: Ravdeep Singh Sohal, Khushdeep Kaur Shergill, , Gagandeep Singh Nagi, Hari Janardanan Pillai
• Format: Article
• Language: English
• Published: University of São Paulo 2021-08-01
• Series: Autopsy and Case Reports
• Subjects: Myxoma; Stroke; Thrombosis
• Online Access: https://www.revistas.usp.br/autopsy/article/view/187878

Atrial myxomas are rare primary cardiac tumours with neurological manifestations being reported in 30% of cases. Though a rare cause of ischemic stroke in young patients, considering it as a possibility in absence of any obvious risk factors can help avoid misdiagnosis at early stages. We present a case of left atrial myxoma in a 36-year-old male with no known co-morbidities, showing an unusual clinical presentation of isolated bilateral painless vision loss. With multiple infarcts on Non Contrast Computerised Tomography (NCCT) and a suspicion of Atrial Myxoma on Transesophageal Echocardiography (TEE), patient was successfully managed surgically with confirmation of diagnosis on histopathology.