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  • Title: Multiple myxomatous aneurysms with bypass and clipping in a 37-year-old man.
    Author: Saffie P, Riquelme F, Mura J, Urra A, Passig C, Castro Á, Illanes S.
    Journal: J Stroke Cerebrovasc Dis; 2015 Mar; 24(3):e69-71. PubMed ID: 25561315.
    Abstract:
    BACKGROUND: Cardiac myxoma is the most common cardiac tumor. Neurologic complications are seen in 20%-35%, most frequently embolic ischemic stroke, and rarely secondary to intracranial aneurysms. The mechanism of aneurysm formation in these patients is speculative. METHODS: We report, herein, a 37-year-old male with a cardiac myxoma who experienced repeated ischemic stroke and intracerebral hematoma despite resection of heart tumor, secondary to multiple cerebral aneurysm. RESULTS: We offered him surgery with a bypass and clipping, because growing of aneurysm was not suitable for endovascular treatment. CONCLUSION: Bypass and clipping are possible options in this type of disease. Aneurysm biopsy supports mycotic theory of aneurysm formation.
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