Left ventricular myxoma:Missed vs metastatic

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.Here we report a case of a 58-year-old male presented to the hospital for transient limb weakness,numbness and dysarthria.Magnetic resonance image of the brain revealed multiple thromboembolic cerebrovascular accidents.Transthoracic echocardiogram(TTE) revealed a left atrial myxoma.It was resected completely with good surgical margins.After one and half year he started having dizziness,and transient right sided weakness.Computer tomography scan of the head revealed a progression of thromboembolic disease.TTE revealed a LVM that was confirmed by transesophageal echocardiogram.It was resected with good surgical margins 3 wk after recurrent cerebrovascular accident.