{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:35:52Z","timestamp":1786649752012,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:p>Cardiac myxoma is a rare benign primary cardiac tumor in children with a high risk of cerebral embolization due to its friable and mobile nature. We present a child who developed an acute left middle cerebral artery infarct from embolization from a left atrial myxoma. He underwent decompressive craniectomy followed by myxoma resection 5 days later. Perioperative management focused on neuroprotection, including mild hypothermia, cerebral oximetry monitoring, and optimized hemodynamic and metabolic parameters. No hemorrhagic complications occurred, and the patient had a favorable neurological recovery without tumor recurrence. In myxoma-related embolic stroke, surgical resection remains the definitive treatment. Although the timing of surgery remains debated, delaying surgery even with antithrombotic bridging still poses a risk of recurrent embolism. With multidisciplinary coordination to balance the risks of hemorrhagic transformation and further embolization, early surgery can be both safe and effective.<\/jats:p>","DOI":"10.4103\/apc.apc_144_25","type":"journal-article","created":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T12:00:14Z","timestamp":1773662414000},"page":"620-623","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Neuroprotective strategies for atrial myxoma resection surgery in a child with cerebral infarction from embolic stroke"],"prefix":"10.4103","volume":"18","author":[{"given":"Sue-Anne Han Jia","family":"Chyn","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, National Heart Institute, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joyce Darshinee","family":"Sirisani","sequence":"additional","affiliation":[{"name":"Pediatric and Congenital Heart 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