Ischemic Stroke Revealing a Left Atrial Myxoma and Paroxysmal Atrial Fibrillation in a 56-Year-Old Woman
H. Hatim, Z. Hamdani, M. Rochd, M. BOUZIANE, M. HABOUB, S. AROUS, A. DRIGHIL, R. HABBAL
Asian Journal of Cardiology Research · pp. 350–354 · Published 2 Jun 2025
10.9734/ajcr/2025/v8i1285Abstract
Left atrial myxomas are rare but potentially serious tumors capable of causing systemic embolism and obstructive cardiac symptoms. We report the case of a 56-year-old woman with cardiovascular risk factors who was admitted for an acute ischemic stroke. Investigations revealed a large mass attached to the interatrial septum, highly suggestive of a myxoma, associated with biatrial dilation. Surgical excision was successfully performed. Subsequent Holter monitoring uncovered silent paroxysmal atrial fibrillation, requiring long-term anticoagulation therapy. This case highlights that even when an obvious embolic source such as a myxoma is identified, it remains essential to search for underlying pathologies, particularly atrial fibrillation, to optimize management and secondary prevention.
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