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09/02/2026
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Nguyễn, N. T., Bùi, V. A., Nguyễn, T. V., Lê, T. K. T., Nông, T. M., Lê, Đức T., Trương, T. N. H., Cao, Đức T., Trương, Đình C., & Nguyễn, D. T. H. (2026). REPORT OF A CASE OF LEFT ATRIAL MYXOMA IN A PATIENT WITH ACUTE CEREBRAL ISCHEMIC STROKE. Vietnam Medical Journal, 559(1). https://doi.org/10.51298/vmj.v559i1.17419
REPORT OF A CASE OF LEFT ATRIAL MYXOMA IN A PATIENT WITH ACUTE CEREBRAL ISCHEMIC STROKE
Main Article Content
Abstract
Left atrial myxoma, the most common benign cardiac tumor, is a recognized cause of ischemic stroke or transient ischemic attack, with a twofold higher incidence in females. In patients presenting with cerebral embolic symptoms, especially at a young age, brain MRA and transthoracic echocardiography should be promptly performed to rule out cardiac myxoma. Transesophageal echocardiography confirms the diagnosis when available. Preoperative anticoagulation is recommended to reduce the risk of embolism and to determine optimal surgical timing. Early surgical resection.
Article Details
Keywords
myxoma, left atrium, stroke, open-heart surgery.
References
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2. Lam KY, Dickens P, Chan AC. Tumors of the heart. A 20-year experience with a review of 12,485 consecutive autopsies. Archives of pathology & laboratory medicine 1993;117(10): 1027-31. [published Online First: 1993/10/01]
3. Ha JW, Kang WC, Chung N, et al. Echocardiographic and morphologic characteristics of left atrial myxoma and their relation to systemic embolism. Am J Cardiol 1999;83(11):1579-82, A8. doi: 10.1016/s0002-9149(99) 00156-3 [published Online First: 1999/06/11]
4. O'Rourke F, Dean N, Mouradian MS, et al. Atrial myxoma as a cause of stroke: case report and discussion. CMAJ: Canadian Medical Association journal = journal de l'Association medicale canadienne 2003;169(10):1049-51. [published Online First: 2003/11/12]
5. Chen Y, Huang Q, Bai C, et al. Preoperative management and anticoagulant efficacy in atrial myxoma-associated acute ischemic stroke: a case report and literature review. Front Cardiovasc Med 2024;11:1435047. doi: 10.3389/ fcvm.2024. 1435047 [published Online First: 2024/11/27]
6. Ekinci EI, Donnan GA. Neurological manifestations of cardiac myxoma: a review of the literature and report of cases. Intern Med J 2004;34(5): 243-9. doi: 10.1111/j.1444-0903. 2004.00563.x [published Online First: 2004/05/21]
7. Yuan SM, Humuruola G. Stroke of a cardiac myxoma origin. Rev Bras Cir Cardiovasc 2015; 30(2):225-34. doi: 10.5935/1678-9741.20150022 [published Online First: 2015/06/25]
8. Zisbrod Z, Rose DM, Jacobowitz IJ, et al. Results of open heart surgery in patients with recent cardiogenic embolic stroke and central nervous system dysfunction. Circulation 1987;76(5 Pt 2):V109-12. [published Online First: 1987/11/01]