Multiple Cerebral Aneurysms Caused by Left Atrial Myxoma

BACKGROUND: Atrial myxomas are rare cardiac tumors, and their association with cerebral aneurysms, although infrequent, presents significant challenges in clinical management. CASE SUMMARY: We present the case of a 54-year-old woman with a history of hypertension and dyslipidemia who experienced persistent headaches. Previously hospitalized for recurrent strokes, she was diagnosed with a left atrial myxoma and multiple cerebral aneurysms. The myxoma was successfully excised, while the aneurysms were managed conservatively. DISCUSSION: This case is noteworthy for its unusual combination of conditions, and it underscores the critical importance of recognizing and monitoring associated complications. It emphasizes the need for ongoing intensive monitoring in patients with atrial myxomas to effectively manage potential neurological complications. TAKE-HOME MESSAGES: Early detection of atrial myxoma is vital to prevent vascular and embolic complications. Regular imaging to assess aneurysmal progression is essential and should be conducted under careful supervision.