Multiple cerebral aneurysms associated with cardiac myxoma in a patient with chronic renal failure: how can we resolve multiple cerebral aneurysms?
Left cardiac myxoma and consecutive embolization into the brain is well documented, whereas the association of myxoma with multiple fusiform cerebral aneurysms is rare. A 48-year old female with chronic renal failure had complained of syncope after receiving hemodialysis. An echocardiogram showed a 3 x 4 cm sized myxoma and brain MRI displayed multiple fusiform aneurysms. The myxoma was successfully removed. Postoperatively, she developed status epilepticus. Unfortunately, the patient did not recover and expired due to sepsis.
Shinn
S H
SH
Thoracic and Cardiovascular Surgery, Hanyang University Guri Hospital, Guri, Republic of Korea. pacifico0324@yahoo.co.kr
Chon
S-H
SH
Kim
H-J
HJ
D006348:Cardiac Surgical Procedures; D002533:Cerebral Angiography; D017809:Fatal Outcome; D005260:Female; D006325:Heart Atria / Q000473:pathology; D006338:Heart Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D006801:Humans; D002532:Intracranial Aneurysm / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D009232:Myxoma / Q000150:complications* / Q000473:pathology / Q000601:surgery; D006435:Renal Dialysis; D018805:Sepsis / Q000209:etiology; D013226:Status Epilepticus / Q000209:etiology; D013575:Syncope / Q000209:etiology