LAUSR

Background and Aims: Since the onset of SARS COV2, many recent reports suggest a link between COVID19 and ischemic stroke. Methods: Here we present a case of patients with positive COVID-19 that presented with acute stroke with atrial myxoma Results: Observation : A 59-year-old woman with no history of hypertension and diabetes presents on emergency department 35 min after sudden onset of right side hemiplegia and aphasia. Admission check found that she is afebrile, blood pressure 150/85, pulse 95 times/mn, breath 20 times/mn, Glasgow Coma Scale score was 12/15. Blood glucose level was 6mmol/L, serum creatinine level was 0.66 mg/L, hemoglobin was 11.5 mg/dL, and platelet count was 20.7 × 104/μL. National Institutes of Health Stroke Scale score was 19. ECG showed sinus rhythm no abnormalities were evident on chest roentgenogram. After CT brain, the patient was diagnosed as having acute cerebral infarction and Alteplase at a dose of 0.9 mg/kg was started 57 min after onset. Patient was thoroughly investigated for the cause of stroke after abnormal magnetic resonance imaging results of her brain and the nonimprovement after thrombolysis. Echocardiography showed a large left intra-atrial mass this mass was prolapsing into the left ventricle during diastole, which was suggestive of left atrial myxoma. The systematic screening for COVID 19 revealed positive PCR. Patient was transferred to cardiac surgery for more advanced care Conclusions: In our case, we have an association of cardioembolic stroke with atrial myxoma in patient with covid 19. the effectiveness of thrombolysis in such patients needs more analysis.