Jamal Tayyebah, Hashmi Abdullah, Hashmi Hafsa, Hashmi Kashif A, Akhtar Ammar, Khattak Muhammad S
Cardiology, Nishtar Medical University, Multan, PAK.
Medicine, Quaid-e-Azam Medical College, Bahawalpur, PAK.
Cureus. 2025 Apr 21;17(4):e82666. doi: 10.7759/cureus.82666. eCollection 2025 Apr.
Cardiac myxomas are the most common primary cardiac tumors. Their primary location is the left atrium, but they can arise in any cardiac chamber. Although histologically benign, atrial myxomas are functionally malignant due to their high embolic potential, which can lead to severe complications such as ischemic stroke. Left atrial myxoma can mimic mitral stenosis by causing obstruction to the blood flow at the level of the mitral valve. In developing countries, rheumatic mitral valve is the most common cause of mitral stenosis, and the concurrent occurrence of mitral stenosis and rheumatic heart disease is a rarity. We present a case of a 43-year-old man diagnosed with both conditions who developed an ischemic stroke due to tumor embolization two days prior to planned surgical intervention. This case underscores the importance of timely diagnosis and management in patients with concurrent cardiac pathologies.
心脏黏液瘤是最常见的原发性心脏肿瘤。其主要部位是左心房，但也可发生于任何心腔。虽然组织学上为良性，但心房黏液瘤因其高栓塞风险而具有功能上的恶性，可导致严重并发症，如缺血性中风。左心房黏液瘤可通过阻塞二尖瓣水平的血流来模拟二尖瓣狭窄。在发展中国家，风湿性二尖瓣是二尖瓣狭窄最常见的病因，二尖瓣狭窄与风湿性心脏病同时发生的情况很少见。我们报告一例43岁男性患者，同时患有这两种疾病，在计划进行手术干预前两天因肿瘤栓塞发生了缺血性中风。该病例强调了对合并心脏疾病患者进行及时诊断和管理的重要性。
