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Rare disease
CASE REPORT
Atrial myxoma presenting as acute ischaemic stroke and chronic right lower leg claudication
  1. Anas Jawaid1,
  2. Syed Yaseen Naqvi2 and
  3. Roy Wiener2
  1. 1 Internal Medicine Department, Strong Memorial Hospital, Rochester, New York, USA
  2. 2 Cardiology Division, Strong Memorial Hospital, Rochester, New York, USA
  1. Correspondence to Dr Syed Yaseen Naqvi, syedalinaqvi1{at}gmail.com

Abstract

A 48-year-old man presented with acute onset of left facial numbness, ataxic gait and double vision. He also complained of chronic right lower leg pain with acute onset a year prior to presentation. His vital signs were within normal limits. Physical exam was notable for right-sided intranuclear opthalmoplegia, decreased sensation to light touch on the left side of his body, left-sided dysmetria and ataxic gait. Neuroimaging showed evidence of acute stroke in the cerebellum and brainstem, for which he was treated with thrombolytics. An echocardiogram revealed a 5×3 cm left atrial myxoma, which was surgically resected. Subsequent imaging of his lower extremity revealed a chronic common iliac artery occlusion for which he underwent angioplasty. His claudication symptoms resolved, and he was without any neurological deficits at a 2-year follow-up visit.

  • cardiovascular medicine
  • cardiothoracic surgery
  • vascular surgery

https://doi.org/10.1136/bcr-2018-227427

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    Footnotes

    • Patient consent for publication Obtained.

    • Contributors AJ and SYN wrote the case report. RW edited the case and was the physician responsible for the patient care.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.