Recurrent left ventricular myxoma presenting as cerebrovascular accidents in a teenage girl.
Myxoma cordis is the most frequent primary cardiac tumour in adults. Paediatric primary cardiac tumours are rare, the most common type being rhabdomyoma. Atrial and ventricular myxomas occur infrequently in the paediatric age group. Intracardiac myxomas are seen with an estimated incidence of 0.5 per million population per year. Approximately 70% of the affected patients are of female gender. Recurrences are rare (1.3%). Asymptomatic recurrences are observed in young patients who have a familial history of tumour or multifocal myxomas. Although rare, cardiac aetiology (atrial fibrillation, intracardiac thrombi, patent foramen ovale, myxoma, endocarditis) should be considered. In children presenting with central neurological symptoms, a cardiac aetiology has to be considered. We describe a rare case of an 18-year-old girl presenting with a recurrent left ventricular myxoma, accompanied by neurological deficits.
Department of Cardiology, Antwerp University Hospital, Belgium. tom.vermeulen@uza.be
Tom
T
Vermeulen
Viviane M
VM
Conraads
Christiaan
C
Vrints
Inez E
IE
Rodrigus
D000293:Adolescent; D001037:Aphasia / Q000209:etiology; D017548:Echocardiography, Transesophageal; D005158:Facial Paralysis / Q000209:etiology; D005260:Female; D006338:Heart Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D009232:Myxoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D009364:Neoplasm Recurrence, Local; D010291:Paresis; D020521:Stroke / Q000209:etiology*