MULTIPLE CEREBRAL ANEURYSMS ORIGINATING FROM PREVIOUSLY RESECTED CARDIAC MYXOMA
DOI:
https://doi.org/10.54283/RACSaude.v2n2.2021.p10-13Keywords:
Cardiac Myxoma, Cerebral aneurism, Radiosurgery, NeurosurgeryAbstract
Primary cardiac tumors are very rare, accounting for 0,001 – 0,03% in autopsy series, cardiac myxoma (CM) account for approximately 50% of them. Association between CM and cerebral aneurism is well documented in this condition but the occurrence of cerebral aneurism after resection of CM is very rare there is only 40 reports in medical literature. We present a case of 45 years old female patient with multiple cerebral aneurysms 2 years after a successful resection of cardiac myxoma, submitted to radiosurgery for 2 bigger aneurisms with good result. This report ads to literature new clinical findings and a hypothesis of radiosurgery as an effective option of treatment for cerebral aneurisms with origin in CM.
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Aiello VD, Tanigawa RY, Chate RC, de Campos FP, Mansur AJ. Progressive dyspnea and a right atrial mass in an 80-year-old man. Autopsy & Case Reports. 2019 Oct;9(4). doi: https://dx.doi.org/10.4322%2Facr.2019.135
Manuel V, Dinato FJ, Gutierrez PS, Siqueira SA, Gaiotto FA, Jatene FB. Cardiac metastatic endometrial stromal sarcoma 17 years after hysterectomy. Journal of cardiac surgery. 2017 Oct;32(10):636-8. doi: https://doi.org/10.1111/jocs.13221
Straus R, Merliss R. Primary tumor of the heart. Arch Pathol (Chic). 1945;39:74.
Silverman NA. Primary cardiac tumors. Ann Surg .1980 ; 191 ( 2 ) : 127 - 3 8 . doi: http://dx.doi. org/10.1097/00000658-198002000-00001 . PMid:7362282.
Burke AP, Tazelar H, Gomez-Roman JJ, Loire R, et al. World Health Organization: tumours of the lung, pleura, thymus and heart. Lyon: IARC Press; 2004.
Reynen K. Cardiac myxomas. New England Journal of Medicine. 1995 Dec 14;333(24):1610. doi: http://dx.doi. org/10.1056/NEJM199512143332407
Marchand F. Zurkenntnis der embolie und thrombose der gerhirnarterien, zugleicheinbeitragzurcasuistik der primarenherztumoren und der gekreuztenembolie. KlinWochenschr. 1894;31(1):e5.
Sabolek M, Bachus‐Banaschak K, Bachus R, Arnold G, Storch A. Multiple cerebral aneurysms as delayed complication of left cardiac myxoma: a case report and review. Acta Neurologica Scandinavica. 2005 Jun;111(6):345-50. doi: https://doi.org/10.1111/j.1600-0404.2005.00413.x
Goswami KC, Shrivastava S, Bahl VK, Saxena A, Manchanda SC, Wasir HS. Cardiac myxomas: clinical and echocardiographic profile. International journal of cardiology. 1998 Feb 28;63(3):251-9. doi: https://doi.org/10.1016/S0167-5273(97)00316-1
Aiello VD, de Campos FP. Cardiac myxoma. Autopsy and Case Reports. 2016 Jun 11;6(2):5. doi: http://dx.doi.org/10.4322/acr.2016.030
Roeltgen DP, Weimer GR, Patterson LF. Delayed neurologic complications of left atrial myxoma. Neurology. 1981 Jan 1;31(1):8. doi: https://doi.org/10.1212/WNL.31.1.8
Bernet F, Stulz PM, Carrel TP. Long-term remission after resection, chemotherapy, and irradiation of a metastatic myxoma. The Annals of thoracic surgery. 1998 Nov 1;66(5):1791-2. doi: https://doi.org/10.1016/S0003-4975(98)00917-5
Damasio H, Seabra-Gomes R, Da Silva JP, Damasio AR, Antunes JL. Multiple cerebral aneurysms and cardiac myxoma. Archives of neurology. 1975 Apr 1;32(4):269-70. doi: http://dx.doi. org/10.1001/archneur.1975.00490460085013
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