Effective Mechanical Thrombectomy in a Patient with Hyperacute Ischemic Stroke Associated with Cardiac Myxoma

被引:17
作者
Baek, Seol-Hee [1 ]
Park, Soonchan [2 ,3 ]
Lee, Nam Joon [2 ]
Kang, Youngjin [4 ]
Cho, Kyung-Hee [1 ]
机构
[1] Korea Univ, Coll Med, Dept Neurol, Seoul 136705, South Korea
[2] Korea Univ, Coll Med, Dept Radiol, Seoul 136705, South Korea
[3] Kyung Hee Univ, Kyung Hee Univ Hosp Gangdong, Sch Med, Dept Radiol, Seoul, South Korea
[4] Korea Univ, Coll Med, Dept Pathol, Seoul 136705, South Korea
关键词
Ischemic stroke; cardiac myxoma; emboli; mechanical thrombectomy; recanalization; clinical outcome;
D O I
10.1016/j.jstrokecerebrovasdis.2014.05.006
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Ischemic stroke is the most common neurologic manifestation of cardiac myxoma. However, there has been no current guideline on the treatment of hyperacute ischemic stroke due to cardiac myxoma. We describe a patient with hyperacute stroke caused by cardiac myxoma who had a good outcome with rapid recanalization through mechanical thrombectomy. A 46-year-old man was admitted with acute symptoms of right side hemiplegia and global aphasia. Brain computed tomography (CT) angiography showed a T occlusion of the left internal carotid artery. Intravenous recombinant tissue plasminogen activator was administered. However, his clinical symptoms did not improve. Thus, we performed endovascular treatment and had a successful outcome. A pathologic examination of the retrieved clot revealed a tumor emboli from a cardiac myxoma. Transthoracic echocardiogram revealed a left atrial myxoma in which a large mass was attached to the posterior wall of the aorta. The patient's neurologic deficits recovered with the exception of left eye blindness. Reperfusion therapy with mechanical thrombectomy might be safe and effective for the rapid revascularization of large vessel occlusions in hyperacute ischemic stroke, from which the tumor thrombi can be retrieved.
引用
收藏
页码:E417 / E419
页数:3
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