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Ventricular Myxoma Associated With Cerebral Embolism

Martin M. Mandel, MD; William H. Strimel Jr., MD
JAMA. 1970;214(12):2154-2156. doi:10.1001/jama.1970.03180120026005.
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Cardiac tumor emboli to the brain are rare. Previously reported cases have all been associated with myxoma of the left atrium, and, to our knowledge, an embolus associated with a myxoma of the ventricle has not been previously reported. The patient had two episodes of recurrent hemiplegia following periods of excessive exertion. Carotid angiography demonstrated a complete occlusion of the left middle cerebral artery. Echocardiography also proved valuable in diagnosis. Microscopic examination of this vessel revealed the lesion to be a myxoma which had originated from a myxoma of the apex of the left ventricle. This etiologic factor should be considered in the occurrence of cerebrovascular occlusive disease in the young adult.


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