A Rare Cause of Pediatric Stroke: Left Atrial Myxoma. (March 2017)

• Record Type: Journal Article
• Authors: Juaneda, Ignacio; Peirone, Alejandro; Contreras, Alejandro; Díaz, Juan; Roca, Federico
• Is Part Of: World journal for pediatric & congenital heart surgery. Volume 8:Number 2(2017)
• Page Start: 220
• Page End: 223
• Publication Date: 2017-03
• Subjects: myxoma -- pediatric -- atrium -- stroke -- surgery; Pediatric cardiology -- Periodicals; Congenital heart disease in children -- Periodicals; Heart -- Abnormalities -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Heart Defects, Congenital -- surgery -- Periodicals; Cardiac Surgical Procedures -- Periodicals; Child -- Periodicals; Adult -- Periodicals; 618.9212
• DOI: 10.1177/2150135116659646
• Languages: English
• ISSNs: 2150-1351

Abstract

We describe a case of sudden-onset left-sided hemiparesis and dysarthria in a five-year-old boy. Acute vascular malformation bleeding or ischemic stroke was suspected. Neurological examination three weeks after the initial event revealed mild residual facial paresis. Brain angiography ruled out a vascular malformation. A work-up echocardiogram revealed a 4-cm left atrial mass compatible with cardiac myxoma. Urgent surgical resection of the mass under cardiopulmonary bypass confirmed the diagnosis. Uneventful recovery followed surgical resection. In this report, we present a partially embolized left atrial myxoma that caused an acute ischemic stroke, which is rarely considered and encountered in the pediatric population.