Effective Intravenous Thrombolytic Therapy in a Patient with Cerebral Infarction Associated with Left Atrial Myxoma

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概要

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• A 70-year-old man presented with sudden onset of global aphasia and right hemiplegia. Brain MRI revealed occlusion of the left middle cerebral artery. He was diagnosed as having a hyperacute cerebral infarction. Intravenous thrombolytic therapy was started, and the neurological symptoms were resolved after 11 h. Echocardiography showed a mobile mass in the left atrium, suspicious of a myxoma. The tumor was resected and pathologically diagnosed as a myxoma. In this patient, intravenous thrombolytic therapy was effective, and no adverse effects were observed. This suggests that, even with complications of myxoma, thrombolytic therapy can be considered if there are no contraindications.

• 社団法人 日本内科学会の論文

著者

• Abe Mayumi

  Department Of Laboratory Medicine National Hospital Organization Kagoshima Medical Center

• Kawase Yasuhiro

  Department Of Neonatology Toho University School Of Medicine

• Oaki Yoshiharu

  Department Of Pathology Nippon Medical School Chiba Hokusoh Hospital

• Haruta Shoji

  Department Of Cardiology The Heart Institute Of Japan Tokyo Women's Medical University

• Yamada Yuichiro

  Department Of Cardiology Tokyo Women's Medical University

• Takeda Takahiro

  Department Of Bioengineering And Robotics Tohoku University

• Ohashi Takashi

  Department Of Demyelinating Disease And Aging National Institute Of Neuroscience Ncnp

• ISHII Yosuke

  Department of Cardiovascular Surgery, Nippon Medical School Chiba Hokusoh Hospital

• BESSHO Ryuzo

  Department of Cardiovascular and Thoracic Surgery, Nippon Medical School, Chiba Hokuso Hospital

• Abe Mayumi

  Department of Neurology, Tokyo Women's Medical University, Yachiyo Medical Center, Japan

• Kohama Ai

  Department of Neurology, Tokyo Women's Medical University, Yachiyo Medical Center, Japan

• Ishikawa Akimi

  Department of Cardiology, Tokyo Women's Medical University, Yachiyo Medical Center, Japan

• Kohama Ai

  Department of Neurology, Tokyo Women's Medical University, Yachiyo Medical Center, Japan

• Haruta Shoji

  Department of Cardiology, Tokyo Women's Medical University, Yachiyo Medical Center, Japan

• Yamada Yuichiro

  Department of Cardiology, Tokyo Women's Medical University, Yachiyo Medical Center, Japan

• Bessho Ryuzo

  Department of Cardiovascular Surgery, Nippon Medical School Chiba Hokusoh Hospital, Japan

• Bessho Ryuzo

  Department of Cardiothoracic Surgery, Nippon Medical School, Chiba Hokusoh Hospital, Inzai, Chiba, Japan

• Ishikawa Akimi

  Department of Cardiology, Tokyo Women's Medical University, Yachiyo Medical Center, Japan

• Ishii Yosuke

  Department of Cardiovascular Surgery, Nippon Medical School Chiba Hokusoh Hospital, Japan

• Kawase Yasuhiro

  Department of Cardiovascular Surgery, Nippon Medical School Chiba Hokusoh Hospital, Japan

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