title: Concomitant Left Atrial Myxoma and Patent Foramen Ovale: Is It an Evolutional Synergy for a Cerebrovascular Event?
abstract: We report a case of a 48-year-old female who presented initially with an abrupt onset of left facial and hand numbness after her routine yoga with no associated syncope, palpitation, chest pain or dyspnea. She consulted her primary care physician and recommended hospital care for possible stroke. On the day of admission, she complained of left facial and hand hemiparesthesia. Cranial imaging and angiography were unremarkable but echocardiography and cardiac computed tomography revealed left atrial mass. She underwent resection of the left atrial mass with an incidental finding of patent foramen ovale intraoperatively. The left atrial mass was confirmed to be an atrial myxoma. Patient's neurologic complaints resolved towards the end of her hospital course. She was discharged stable with no recurrence of neurologic symptoms on health maintenance evaluation.
authors.affiliation: Department of Medicine, Atlantic Health System-Overlook Medical Center, Summit, NJ 07901, USA.
authors.forename: Glenmore
authors.initials: G
authors.lastname: Lasam
authors.affiliation: Department of Medicine, Atlantic Health System-Overlook Medical Center, Summit, NJ 07901, USA.
authors.forename: Roberto
authors.initials: R
authors.lastname: Ramirez
keywords: Cardioembolic stroke; Cerebrovascular event; Cryptogenic stroke; Left atrial myxoma; Paradoxical embolism; Patent foramen ovale