A young woman with multiple intra cardiac mass, systemic symptoms and stroke

A 32 year old lady was admitted to hospital following generalised tonic seizure, and recurrent stroke. She had history of young stroke with left hemiparesis at the age of 27, subsequently defaulted follow up. Evaluation during that time included connective tissue disease and antiphospholipid syndrome screening which were negative and a transthoracic echocardiogram which revealed pericardial effusion of unknown aetiology. A repeat transthoracic and a cardiac computed tomography (CT) scan during this admission revealed multiple intracardiac mass at left and right atrium while CT Brain showed extensive multifocal infarct. Patient also had constitutional symptoms of fever, loss of appetite and loss of weight. A diagnosis of cardiac myxoma was made.
The diverse presentation of cardiac myxoma indicates the complexity of the disease. This case illustrates that early diagnosis and treatment of cardiac myxoma is of utmost importance in preventing further sequelae.