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KMID : 1161920160130020081
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Journal of Medicine and Life Science
2016 Volume.13 No. 2 p.81 ~ p.84
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Infected Cardiac Myxoma Presenting as an Acute Stroke in the Emergency Department
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Park Hyun-Soo
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Abstract
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The intra-cardiac mass is observed in 0.05 percent of routine postmortem examinations. The difference diagnosis includes benign, malignant primary, secondary metastatic cardiac tumor, or thrombus. Myxomas is the most common primary cardiac tumors. The clinical features of myxomas are determined by their location, size, and mobility. Most patients present with one or more of the triad of embolism, intra-cardiac obstruction and constitutional symptoms. We present a 65-year-old man who visited the emergency department, complaining of sudden onset dysarthria and right side weakness. After initial brain image, he was diagnosed with acute stroke, however hypotension and elevated inflammatory marker were observed. He underwent emergent echocardiography, and 2 * 2 cm sized cardiac myxoma in his left atrium was detected.
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KEYWORD
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Myxoma, Stroke, Septic Shock
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