Left ventricular myxoma: Missed vs metastatic
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Left ventricular myxomas account for 2.5% of all cardiac myxoma cases. There are very few case reports on left ventricular myxoma (LVM) presented after complete surgical resection of left atrial myxoma.

Case report:
A 58-year-old male with a past medical history of hypertension and diabetes went to see a primary care physician with complaints of multiple episodes of transient limb weakness, numbness and dysarthria lasting less than 1 h. A magnetic resonance image (MRI) of the brain was obtained revealing multiple bilateral, supra, infratentorial, cortical and sub-cortical infarctions in watershed areas consistent with multiple thromboembolic strokes. Upon admission to the hospital, routine lab work (complete blood count, complete metabolic profile, lipid panel, thyroid function tests, coagulation studies), and carotid doppler failed to reveal any significant abnormalities other than poorly controlled diabetes, and a serum cholesterol of 113 mg/dL. A transthoracic echocardiogram (TTE) demonstrated a 3.5 cm homogenous mass in the left atrium with mild dilation and a normal left ventricle (LV). A pre-operative coronary angiogram failed to reveal any significant coronary artery disease. The left atrial mass was subsequently resected with good surgical margins and a small incidental patent foramen was successfully closed. Final pathology of the mass confirmed it to be a transparent myxoma. Patient was discharged home in stable condition and did well for few months without any major symptoms other than generalized weakness.....