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Delayed cerebral metastases after left-atrial myxoma resection in a child

Published online by Cambridge University Press:  19 May 2025

Siming Liu
Affiliation:
Department of Cardiothoracic Surgery, Xinhua Hospital, Shanghai Jiaotong University School of medicine, Shanghai, China
Fangbao Ding
Affiliation:
Department of Cardiothoracic Surgery, Xinhua Hospital, Shanghai Jiaotong University School of medicine, Shanghai, China
Jiaquan Zhu*
Affiliation:
Department of Cardiothoracic Surgery, Xinhua Hospital, Shanghai Jiaotong University School of medicine, Shanghai, China
*
Corresponding author: Jiaquan Zhu; Email: dr_zhujq@126.com

Abstract

Atrial myxoma in children is rare, with vision loss and cerebral metastasis seldom reported. We present the case of a 12-year-old girl who experienced sudden vision loss and acute infarction, with a left atrial myxoma identified and surgically resected. One year later, she was readmitted with severe neurological symptoms. Imaging revealed multiple hypometabolic brain lesions, which were confirmed as metastatic myxoma through surgical resection and pathology. This case underscores the critical need for long-term follow-up in patients with cardiac myxoma to monitor potential delayed neurological complications.

Type
Case Report
Copyright
© The Author(s), 2025. Published by Cambridge University Press

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