title: A rare case of right ventricular myxoma causing recurrent stroke.
abstract: We present a 62-year-old lady admitted in our hospital with two episodes of acute ischemic stroke about 2 weeks apart. She was evaluated for acute ischemic stroke and was thrombolysed for recent stroke in right MCA territory first time. On further evaluation, she was found to have a RVOT mass. A transthoracic and transesophageal echocardiogram revealed a PFO and a large, 5.1cm×2.3cm, ovoid, well circumscribed, echogenic mass in the right ventricle outflow tract attached by small pedicle to the ventricular side of anterior tricuspid leaflet, partly obstructing the right ventricular outflow tract and protruding through the pulmonic valve during systole. She was scheduled for surgery (right ventricular mass excision and PFO closure) after 3 weeks due to the risk of secondary hemorrhage in the infarcted area following thrombolysis and anticoagulation and so was discharged with medications after full neurologic recovery after about a week of hospital stay. She was readmitted 7 days after discharge, before the scheduled date of surgery with history of weakness of right upper limb, slurred speech and mild breathing difficulty lasting for about 20min following which she improved slowly (transient ischemic attack). The tumor was completely removed with the stalk using cardiopulmonary bypass support. The histopathological findings confirmed the diagnosis of myxoma.
authors.affiliation: Apollo BGS Hospital, Mysore 570023, Karnataka, India. Electronic address: prakashswatirao18@yahoo.com.
authors.forename: Prakash Aroor Sarvotham
authors.initials: PA
authors.lastname: Rao
authors.affiliation: Apollo BGS Hospital, Mysore 570023, Karnataka, India.
authors.forename: S N
authors.initials: SN
authors.lastname: Nagendra Prakash
authors.affiliation: Apollo BGS Hospital, Mysore 570023, Karnataka, India.
authors.forename: Somanath
authors.initials: S
authors.lastname: Vasudev
authors.affiliation: Apollo BGS Hospital, Mysore 570023, Karnataka, India.
authors.forename: M
authors.initials: M
authors.lastname: Girish
authors.affiliation: Apollo BGS Hospital, Mysore 570023, Karnataka, India.
authors.forename: Arun
authors.initials: A
authors.lastname: Srinivas
authors.affiliation: Apollo BGS Hospital, Mysore 570023, Karnataka, India.
authors.forename: H P
authors.initials: HP
authors.lastname: Guru Prasad
authors.affiliation: Apollo BGS Hospital, Mysore 570023, Karnataka, India.
authors.forename: P
authors.initials: P
authors.lastname: Jayakumar
authors.affiliation: Apollo BGS Hospital, Mysore 570023, Karnataka, India.
authors.forename: Venu Gopal
authors.initials: VG
authors.lastname: Anandaswamy
mesh_terms: D005260:Female; D006338:Heart Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D008875:Middle Aged; D009232:Myxoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D020521:Stroke / Q000000981:diagnostic imaging / Q000209:etiology*
keywords: Cerebral artery; Histopathologic examination; Magnetic resonance imaging; Patent foramen