Multiple Myxomatous Aneurysms with Bypass and Clipping in a 37-year-old Man

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.