Mechanical thrombectomy in cardiac myxoma stroke: a case report and review of the literature

Acta Neurochir (Wien). 2016 Jun;158(6):1083-8. doi: 10.1007/s00701-016-2780-x. Epub 2016 Apr 4.

Abstract

Cardiac myxoma is the most common primary tumor of the heart. It is a rare cause of acute ischemic stroke and commonly not detected until after the stroke. There is no current guideline for the treatment of cardiac myxoma stroke and only a few cases of mechanical thrombectomy have been reported. We present a case of cardiac myxoma stroke in a 4-year-old boy treated with a stent-retrieval device and review the literature describing the safety and efficacy of mechanical thrombectomy in cardiac myxoma stroke. We also describe imaging features of the myxoma clot on susceptibility weighted images.

Keywords: Acute ischemic stroke; Cardiac myxoma; Mechanical thrombectomy; Susceptibility weighted image.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Child, Preschool
  • Heart Neoplasms / diagnostic imaging
  • Heart Neoplasms / surgery*
  • Humans
  • Male
  • Myxoma / diagnostic imaging
  • Myxoma / surgery*
  • Stents / adverse effects
  • Thrombectomy / instrumentation
  • Thrombectomy / methods*