Published online Oct 26, 2013. doi: 10.4330/wjc.v5.i10.387
Revised: August 17, 2013
Accepted: September 18, 2013
Published online: October 26, 2013
Processing time: 112 Days and 7.2 Hours
Left ventricular myxomas account for 2.5% of all cardiac myxoma cases. There are very few case reports on left ventricular myxoma (LVM) presented after complete surgical resection of left atrial myxoma. Here we report a case of a 58-year-old male presented to the hospital for transient limb weakness, numbness and dysarthria. Magnetic resonance image of the brain revealed multiple thromboembolic cerebrovascular accidents. Transthoracic echocardiogram (TTE) revealed a left atrial myxoma. It was resected completely with good surgical margins. After one and half year he started having dizziness, and transient right sided weakness. Computer tomography scan of the head revealed a progression of thromboembolic disease. TTE revealed a LVM that was confirmed by transesophageal echocardiogram. It was resected with good surgical margins 3 wk after recurrent cerebrovascular accident.
Core tip: Left ventricular myxoma (LVM) after surgical resection of left atrial myxoma is very rare. Etiologies for recurrent LVM after left atrial myxoma resection are incomplete surgical resection, metastasis, totipotent multicentricity and missed. Here we are describing a case that was probably a metastatic LVM as it is uncommon statistically for it to be a recurrent myxoma in the left ventricle after complete resection from left atrium. If there is a progression of the cerebral hemorrhagic lesions it would confirm our diagnosis of the metastatic process.