title: Multiple myxomatous aneurysms with bypass and clipping in a 37-year-old man.
abstract: BACKGROUND
  Cardiac myxoma is the most common cardiac tumor. Neurologic complications are seen in 20%-35%, most frequently embolic ischemic stroke, and rarely secondary to intracranial aneurysms. The mechanism of aneurysm formation in these patients is speculative.
  
  
  METHODS
  We report, herein, a 37-year-old male with a cardiac myxoma who experienced repeated ischemic stroke and intracerebral hematoma despite resection of heart tumor, secondary to multiple cerebral aneurysm.
  
  
  RESULTS
  We offered him surgery with a bypass and clipping, because growing of aneurysm was not suitable for endovascular treatment.
  
  
  CONCLUSIONS
  Bypass and clipping are possible options in this type of disease. Aneurysm biopsy supports mycotic theory of aneurysm formation.
authors.affiliation: Neurology Service, Clínica Dávila, Santiago, Chile.
authors.forename: Paula
authors.initials: P
authors.lastname: Saffie
authors.affiliation: Neurosurgery Service, Clínica Dávila, Santiago, Chile.
authors.forename: Francisco
authors.initials: F
authors.lastname: Riquelme
authors.affiliation: Neurosurgery Service, Clínica Dávila, Santiago, Chile.
authors.forename: Jorge
authors.initials: J
authors.lastname: Mura
authors.affiliation: Neurology Service, Clínica Dávila, Santiago, Chile.
authors.forename: Alejandra
authors.initials: A
authors.lastname: Urra
authors.affiliation: Neurology Service, Clínica Dávila, Santiago, Chile.
authors.forename: Claudia
authors.initials: C
authors.lastname: Passig
authors.affiliation: Neurology Service, Clínica Dávila, Santiago, Chile.
authors.forename: Ángel
authors.initials: Á
authors.lastname: Castro
authors.affiliation: Neurology Service, Clínica Dávila, Santiago, Chile. Electronic address: sergio.illanes@gmail.com.
authors.forename: Sergio
authors.initials: S
authors.lastname: Illanes
mesh_terms: D000328:Adult; D001706:Biopsy; D006348:Cardiac Surgical Procedures; D002533:Cerebral Angiography; D006338:Heart Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D009232:Myxoma / Q000150:complications / Q000473:pathology / Q000601:surgery*; D009360:Neoplastic Cells, Circulating / Q000473:pathology*; D016896:Treatment Outcome
keywords: Cardiac myxoma; cerebral aneurysm; embolic ischemic stroke; intracerebral hemorrhage; mycotic aneurysm