Multiple cerebral aneurysms as manifestations of cardiac myxoma: Brain imaging, digital subtraction angiography, and echocardiography

Kuo-Hsien Chiang^a, Hua-Ming Cheng^a, Bee-Song Chang^b, Cheng-Hui Chiu^a, Pao-Sheng Yen^a

^a Department of Medical Imaging, Buddhist Tzu Chi General Hospital, Tzu Chi University and Tzu Chi College of Technology, Hualien, Taiwan
^b Department of Thoracic Surgery, Buddhist Tzu Chi General Hospital, Hualien, Taiwan

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Abstract
We report a patient with left side atrial myxoma who initially presented with neurological symptoms. Cerebral magnetic resonance imaging and angiography revealed multiple aneurysms with enhancement leading to the final diagnosis of cardiac myxoma. We showed distinctive findings from brain magnetic resonance imaging, digital subtraction angiography, and cardiac echography and the final pathological appearance of cardiac myxoma in this patient. We consider that a correct diagnosis can be made based on an appropriate evaluation of the integrated imaging studies.

Keywords
Angiography; Atrial myxoma; Cerebral aneurysms; MRI