Intra-arterial thrombolysis of embolic proximal middle cerebral artery occlusion from presumed atrial myxoma.
case_report · Level V
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Abstract
The role of thrombolysis in brain ischemia in patients with atrial myxoma is unknown. A patient with acute brain ischemia and previously undiagnosed atrial myxoma recanalized an occluded middle cerebral artery with intra-arterial thrombolysis. Arterial occlusion from presumed myxoma may be amenable to fibrinolysis. Angiography before treatment in patients with atrial myxoma excludes a myxomatous pseudoaneurysm and permits site-specific thrombolytic instillment.
Medical subject headings
- Cerebral Arteries
- Heart Neoplasms
- Intracranial Embolism and Thrombosis
- Myxoma
- Thrombolytic Therapy
- Urokinase-Type Plasminogen Activator