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Stroke and Myxoma

Baran Ugurlu, MD, Öztekin Oto, MD, Hüseyin Okutan, MD, Kürat Kutluk, MD^,1, Erdem Silistreli, MD, Nejat Sariosmanolu, MD, Eyüp Hazan, MD, Aydanur Kargi, MD^,2

Department of Thoracic and Cardiovascular Surgery 1 Department of Neurology 2 Department of Pathology Dokuz Eylül University Medical School zmir, Turkey

For reprint information contact: Öztekin Oto, MD Tel: 90 232 277 2165 Fax: 90 232 277 2165 email: oztekin.oto{at}deu.edu.tr Department of Thoracic and Cardiovascular Surgery, Dokuz Eylül University Medical School, 35340 zmir, Turkey.

Cardiac myxoma was detected by transthoracic echocardiography in 8 patients (aged 11 to 64 years) who were admitted between 1991 and 1999 with stroke or transient ischemic attacks, representing 80% of the total myxoma cases treated in this period. All patients underwent surgery and the myxomas were successfully removed. There were no recurrences during a mean follow-up of 3.1 years. In the presence of unexplained transient ischemic attack, cerebral infarction, or syncope, this relatively rare cardiac lesion should be suspected and investigated by transthoracic echocardiography.