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Cardiac myxomas are a potential source of emboli to the brain and elsewhere in the vascular tree. Myxomas are the most common benign primary cardiac tumor in adults. The commonest location of cardiac myxomas is in the left atrium followed by the right atrium and the remainder develops in the ventricles and rarely in the heart valves. Cerebrovascular strokes secondary to myxomas account for less than 1% of all ischemic strokes but should be considered in the differential diagnosis of patients with stroke in young.
We report a case of female patient with a recently discovered left atrial myxoma presenting with sudden onset of ischemic cardioembolic stroke of the right middle cerebral artery within the therapeutic window and successfully treated with intravenous thrombolytic therapy.
Atrial myxomas are the most common benign primary tumors in adults that can present in several ways. Embolic ischemic stroke is the most common neurological complication and should be suspected in cases of stroke in young. Systemic thrombolysis seems to be safe and effective in treatment in treating acute stroke secondary to atrial myxomas.
Keywords: Myxoma, Stroke, Cardioembolic, Thrombolysis, Recombinant tissue plasminogen activator