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J Thorac Cardiovasc Surg 2008;135:1172-1173
© 2008 The American Association for Thoracic Surgery

Brief Communication

Recurrence of myxoma in the left ventricle with concurrent cerebral fusiform aneurysms after previous atrial myxoma surgery

John-Peder Escobar Kvitting, MD, PhDa,*, Jan Engvall, MD, PhDb, Mats Broqvist, MD, PhDc, Stefan Franzén, MDa, Mats Andersson, MDd, Ulf Ohlsson, MDe, Niels Erik Nielsen, MD, PhDc

a Department of Cardiothoracic Surgery, Linköping University Hospital, Linköping, Sweden
b Department of Clinical Physiology, Linköping University Hospital, Linköping, Sweden
c Department of Cardiology, Linköping University Hospital, Linköping, Sweden
d Department of Neurology, Linköping University Hospital, Linköping, Sweden
e Department of Medicine, Oskarshamns Hospital, Oskarshamn, Sweden

Received for publication November 27, 2007; accepted for publication December 22, 2007.

* Address for reprints: John-Peder Escobar Kvitting, MD, PhD, Department of Cardiothoracic Surgery, Linköping University Hospital, SE – 581 85 Linköping. (Email: johkv@imv.liu.se).

The first 20% of the full text of this article appears below.

Cardiac myxoma belongs to the possible findings in a workup after cerebral stroke, despite being an uncommon disease with an incidence of 0.5 per million population per year.1Go After surgical removal, cardiac myxoma has a recurrence rate of 2% to 3%, higher in patients with familial myxomas (30%–75%).2,3Go Most new tumors develop in the atria. A local recurrence suggests incomplete resection at the primary operation. Whether recurrent myxoma is a result of dissemination of tumor cells at the first surgical procedure or a multifocal disease remains unclear.4Go Since the introduction of echocardiography and cardiac magnetic resonance (CMR) imaging, the follow-up of these patients has improved.

Clinical Summary

In June of 2005, a 55-year-old female patient, previously healthy without medication or allergies, presented with a left-sided hemiparesis at the emergency department of a local hospital. Cerebral computed tomography scan displayed a 1-cm frontotemporal lesion without bleeding. Her symptoms abated in 24 hours. Electrocardiography showed normal sinus rhythm, and the chest x-ray was normal. Transthoracic echocardiography (TTE) . . . [Full Text of this Article]






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