Introduction
Primary cardiac tumors are rare with a reported incidence of 1,380/100
million individuals.1 Among primary cardiac tumors,
approximately 75% are benign.2 Of the benign tumors,
nearly half are cardiac myxomas, which predominantly arise from or near
the interatrial septum and extend into the left
atrium.3 It primarily affects the female population
with a female to male ratio of 2:1.4 The etiology is
unknown and the only evidence pertaining is its mesenchymal origin.
It is often difficult to diagnose myxoma of the heart due to less
symptoms or masked symptoms and hence should be considered as a
differential diagnosis for unexplained syncope and
dyspnea.3 The progression of the tumor can rarely lead
to embolic stroke.5 The current guidelines of stroke
management do not elaborate on cardio-embolic stroke with myxoma and
only a few cases have been reported till date.6