Resection of Myxoma in the Acute Phase of Hemorrhagic Cerebral Infarction
10.4326/jjcvs.44.79
- VernacularTitle:出血性脳梗塞発症急性期に左房粘液腫摘出術を行った1例
- Author:
Hideya Tanaka
;
Kojiro Furukawa
;
Hiroyuki Morokuma
;
Ryo Noguchi
;
Manabu Itoh
;
Keiji Kamohara
;
Shigeki Morita
- Publication Type:Journal Article
- Keywords:
myxoma;
cerebral complication;
cardiopulmonary bypass
- From:Japanese Journal of Cardiovascular Surgery
2015;44(2):79-81
- CountryJapan
- Language:Japanese
-
Abstract:
Early surgical resection for cardiac myxoma is necessary because it may frequently cause cerebral infarction. However the optimal surgical timing for the disease is controversial because the acute phase of infarction may induce intracranial hemorrhage. An 82-year-old woman referred to our hospital because of unconsciousness and right hemiparesis. MRI showed infarction in the left middle cerebral artery area and UCG revealed a left atrial mass. The fourth day after the onset, brain CT showed hemorrhagic infarction and MRI showed new infarction. There was no enlargement of the hemorrhagic focus on brain CT and the patient underwent surgery on the fifth day after the onset. The postoperative course was uneventful. Despite the existence of hemorrhagic infarction, open heart surgery may save patients with cerebrovascular event.
