Korean J Med.  2014 Jun;86(6):744-748.

Multiple Cerebral Fusiform Aneurysms and Coronary Aneurysm in a Patient with Cardiac Myxoma

Affiliations
  • 1Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. elisabet.chang@gmail.com

Abstract

Cardiac myxoma is the most common primary tumor of the heart and development of a cerebral aneurysm is rare in cardiac myxoma patients. We present the case of a 57-year-old asymptomatic male with multiple aneurysms in the cerebral and coronary arteries complicated by cardiac myxoma. Multiple cerebral aneurysms were fusiform shaped and located in the right middle cerebral artery, right anterior cerebral artery, right anterior choroidal artery, and left anterior cerebral artery. A coronary artery aneurysm was also located in the distal left circumflex artery with subendocardial myocardial infarction seen by cardiac magnetic resonance imaging (MRI). The cardiac myxoma was surgically removed and 1 month after surgical resection, there was no progression of the aneurysms on follow-up brain MRI.

Keyword

Myxoma; Intracranial aneurysm; Coronary artery aneurysm

MeSH Terms

Aneurysm*
Anterior Cerebral Artery
Arteries
Brain
Choroid
Coronary Aneurysm*
Coronary Vessels
Follow-Up Studies
Heart
Humans
Intracranial Aneurysm
Magnetic Resonance Imaging
Male
Middle Aged
Middle Cerebral Artery
Myocardial Infarction
Myxoma*
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