Local Thrombolysis for Successful Treatment of Acute Stroke in an Adolescent with Cardiac Myxoma
Intracardiac myxomas are the most common benign cardiac tumors in adults. They are a rare source of cardiogenic embolisms and sudden death, especially in young patients. This report describes the case of a male adolescent who presented with right-sided paresis and aphasia. Magnetic resonance imaging...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1100/tsw.2011.90 |
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| author | Natig Gassanov Amir M. Nia Kristina M. Dahlem Stefan Ederer Inga Wedemeyer Evren Caglayan Erland Erdmann Fikret Er |
| author_facet | Natig Gassanov Amir M. Nia Kristina M. Dahlem Stefan Ederer Inga Wedemeyer Evren Caglayan Erland Erdmann Fikret Er |
| author_sort | Natig Gassanov |
| collection | DOAJ |
| description | Intracardiac myxomas are the most common benign cardiac tumors in adults. They are a rare source of cardiogenic embolisms and sudden death, especially in young patients. This report describes the case of a male adolescent who presented with right-sided paresis and aphasia. Magnetic resonance imaging of the brain revealed an ischemic stroke without evidence of acute bleeding. Intra-arterial local thrombolysis was immediately started. An echocardiographic screening after successful thrombolysis with a remarkable recovery of symptoms detected a thrombotic-like mass in the left atrium. The mass was excised surgically, confirmed as a benign atrial myxoma, and the patient was discharged with restitution ad integrum. Thus, contrary to some critical reports, thrombolytic therapy for acute ischemic strokes due to atrial myxomas may be safe and highly effective. |
| format | Article |
| id | doaj-art-a89fe39fe74949729a05ccadd77011c2 |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-a89fe39fe74949729a05ccadd77011c22025-02-03T01:20:57ZengWileyThe Scientific World Journal1537-744X2011-01-011189189310.1100/tsw.2011.90Local Thrombolysis for Successful Treatment of Acute Stroke in an Adolescent with Cardiac MyxomaNatig Gassanov0Amir M. Nia1Kristina M. Dahlem2Stefan Ederer3Inga Wedemeyer4Evren Caglayan5Erland Erdmann6Fikret Er7Department of Internal Medicine III, University of Cologne, GermanyDepartment of Internal Medicine III, University of Cologne, GermanyDepartment of Internal Medicine III, University of Cologne, GermanyDepartment of Internal Medicine III, University of Cologne, GermanyInstitute of Pathology, University of Cologne, GermanyDepartment of Internal Medicine III, University of Cologne, GermanyDepartment of Internal Medicine III, University of Cologne, GermanyDepartment of Internal Medicine III, University of Cologne, GermanyIntracardiac myxomas are the most common benign cardiac tumors in adults. They are a rare source of cardiogenic embolisms and sudden death, especially in young patients. This report describes the case of a male adolescent who presented with right-sided paresis and aphasia. Magnetic resonance imaging of the brain revealed an ischemic stroke without evidence of acute bleeding. Intra-arterial local thrombolysis was immediately started. An echocardiographic screening after successful thrombolysis with a remarkable recovery of symptoms detected a thrombotic-like mass in the left atrium. The mass was excised surgically, confirmed as a benign atrial myxoma, and the patient was discharged with restitution ad integrum. Thus, contrary to some critical reports, thrombolytic therapy for acute ischemic strokes due to atrial myxomas may be safe and highly effective.http://dx.doi.org/10.1100/tsw.2011.90 |
| spellingShingle | Natig Gassanov Amir M. Nia Kristina M. Dahlem Stefan Ederer Inga Wedemeyer Evren Caglayan Erland Erdmann Fikret Er Local Thrombolysis for Successful Treatment of Acute Stroke in an Adolescent with Cardiac Myxoma The Scientific World Journal |
| title | Local Thrombolysis for Successful Treatment of Acute Stroke in an Adolescent with Cardiac Myxoma |
| title_full | Local Thrombolysis for Successful Treatment of Acute Stroke in an Adolescent with Cardiac Myxoma |
| title_fullStr | Local Thrombolysis for Successful Treatment of Acute Stroke in an Adolescent with Cardiac Myxoma |
| title_full_unstemmed | Local Thrombolysis for Successful Treatment of Acute Stroke in an Adolescent with Cardiac Myxoma |
| title_short | Local Thrombolysis for Successful Treatment of Acute Stroke in an Adolescent with Cardiac Myxoma |
| title_sort | local thrombolysis for successful treatment of acute stroke in an adolescent with cardiac myxoma |
| url | http://dx.doi.org/10.1100/tsw.2011.90 |
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