Two cerebral infarctions caused by thrombus and myxomatous embolus in a patient with cardiac myxoma: A case report

• DOI: 10.1016/j.heliyon.2024.e30199
• Publication Date: 2024-04-25T03:37:11Z
• Authors: Ju Zhang; Xiangfeng Guan; Guanzhao Zhang; Yingchun Yin; Zuowei Sha; Yunhe Zhao; Jing Li; Bo Li; Xueliang Qiu
• Keywords: H1-99; Science (General); Myxomatous embolus; Case Report; Social sciences (General); Q1-390; 03 medical and health sciences; 0302 clinical medicine; Cerebral infarction; Cardiac myxoma; Mechanical thrombectomy; Thrombus

An increasing number of cases of cerebral embolism caused by cardiac myxoma have been reported. However, cerebral infarction caused by different types of emboli obstructing different vascular regions within a short period of time has not been reported. This is the first report to histologically confirm cerebral infarctions independently caused by thrombus and myxomatous embolus in a patient with cardiac myxoma within a period of 23 days. The first cerebral infarction was due to embolization of thrombus to the right middle cerebral artery, whereas the second was due to embolization of tissue from a mucinous tumor to the left middle cerebral artery. Both cerebral infarctions underwent mechanical thrombectomy, but unfortunately, we ultimately failed to save the patient's life. Therefore, further attention should be paid to the surgical resection and treatment of cardiac myxoma.