武田　貴裕    Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine    Position
Article types	Case report
Language	English
Peer review	Peer reviewed
Title	Effective intravenous thrombolytic therapy in a patient with cerebral infarction associated with left atrial myxoma
Journal	Formal name：Internal Medicine
Volume, Issue, Page	50(20),pp.2401-2405
Author and coauthor	Mayumi Abe†*, Ai Kohama, Takahiro Takeda, Akimi Ishikawa, Yuichiro Yamada, Yasuhiro Kawase, Yosuke Ishii, Ryuzo Bessho, Yoshiharu Oaki, Shoji Haruta, Takashi Ohashi
Publication date	2011/10
Summary	A 70-year-old man presented with sudden onset of global aphasia and right hemiplegia. Brain MRI revealed occlusion of the left middle cerebral artery. He was diagnosed as having a hyperacute cerebral infarction. Intravenous thrombolytic therapy was started, and the neurological symptoms were resolved after 11 h. Echocardiography showed a mobile mass in the left atrium, suspicious of a myxoma. The tumor was resected and pathologically diagnosed as a myxoma. In this patient, intravenous thrombolytic therapy was effective, and no adverse effects were observed. This suggests that, even with complications of myxoma, thrombolytic therapy can be considered if there are no contraindications.
DOI	10.2169/internalmedicine.50.5545