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| Format: | Artículo científico |
| Language: | en |
| Published: |
Sociedade Brasileira de Cirurgia Cardiovascular
2015
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| Online Access: | https://www.redalyc.org/articulo.oa?id=398941897014 |
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Table of Contents:
- Stroke of a cardiac myxoma origin Shi-Min Yuan Gulimila Humuruola Medicina Myxoma Stroke Embolism Middle Cerebral Artery Objective: The clinical features of cardiac myxoma stroke have not been sufficiently described. Debates remain concern - ing the options and timing of treatment and the clinical out - comes are unknown. This article aims to highlight the pertinent aspects of this rare condition. Methods: Data source of the present study came from a comprehensive literature collection of cardiac myxoma stroke in PubMed, Google search engine and Highwire Press for the year range 2000-2014. Results: Young adults, female predominance, single cere - bral vessel (mostly the middle cerebral artery), multiple terri - tory involvements and solitary left atrial myxoma constituted the outstanding characteristics of this patient setting. The most common affected cerebral vessel (the middle cerebral artery) and areas (the basal ganglion, cerebellum and parietal and temporal regions) corresponded well to the common manifesta - tions of this patient setting, such as conscious alteration, atax - ia, hemiparesis and hemiplegia, aphasia and dysarthria. Initial computed tomography scan carried a higher false negative rate for the diagnosis of cerebral infarction than magnetic resonance imaging did. A delayed surgical resection of cardiac myxoma was associated with an increased risk of potential consequences in particular otherwise arterial embolism. The mortality rate of this patient population was 15.3%. Conclusion: Cardiac myxoma stroke is rare. Often does it affect young females. For an improved diagnostic accuracy, magnetic resonance imaging of the brain and echocardiography are imperative for young stroke patients in identifying the cere - bral infarct and determining the stroke of a cardiac origin. Im - mediate thrombolytic therapy may completely resolve the cere - bral stroke and improve the neurologic function of the patients. An early surgical resection of cardiac myxoma is recommended in patients with not large territory cerebral infarct. 2015 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398941897014 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.2 Vol.30