Description

ABSTRACT
Introduction: Cardiac myxomas are the most common primary intracardiac tumors in adults with a frequency of 0.5 per million inhabitants per year [1]. It is a benign tumor with the left atrial location the most common. Most often the finding is fortuitous on a cardiac ultrasound.
Case presentation: We report the observation of an 83-year-old female patient with a history of hypertension who consults for headache, dizziness, anorexia, drowsiness and dyspnea on exertion. Trans-thoracic cardiac ultrasound objectivizes a left intra-auricular floating mass occupying 2/3, dilation of the right chambers with significant pulmonary arterial hypertension(PAH). The thoracic CT scan found a mass in the left atrium, while the brain CT shows focus of ischemic stroke. Medical treatment was initiated for right heart failure and ischemic stroke, after hemodynamic stabilization, extension workup was indicated followed by surgical evaluation.
Conclusion: Atrial myxoma complicated by ischemic stroke in an elderly patient constitutes a surgical emergency, the management of which must be rapid in order to avoid a poor prognosis.
Key words: : Myxoma, Ischemic stroke, CHU Kati