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