Anesthetic Management of a Voluminous Left Atrial Myxoma Resection in a 19 Weeks Pregnant with Atypical Clinical Presentation

We report the case of a semi-urgent cardiac surgery, in a 19 gestation age pregnant. Despite the fact that the patient was asymptomatic, except for some palpitations, a large left auricle (LA) myxoma was fortuitously diagnosed with transthoracic echocardiography (TEE). Considering the important embo...

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Published inCase reports in anesthesiology Vol. 2019; no. 2019; pp. 1 - 6
Main Authors Kapessidou, Yota, Germay, Olivier, De Cannière, Didier, Hacquebard, Jean-Pierre, Origer, Pierre, Alexis, Alexandros, Vandenbossche, Jean-Luc
Format Journal Article
LanguageEnglish
Published Cairo, Egypt Hindawi Publishing Corporation 2019
Hindawi
John Wiley & Sons, Inc
Hindawi Limited
Subjects
Anesthesia
Cardiac arrhythmia
Case Report
Case reports
Catheters
Central nervous system agents
Coronary artery bypass
Coronary vessels
Electrocardiography
Entropy
Fetuses
Health aspects
Heart
Heart rate
Heart surgery
Medical personnel
Mortality
Myxoma
NMR
Nuclear magnetic resonance
Patients
Pregnancy
Pregnant women
Remifentanil
Sinuses
Tranexamic acid
Tumors
Ventilation
Belgium
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Summary:We report the case of a semi-urgent cardiac surgery, in a 19 gestation age pregnant. Despite the fact that the patient was asymptomatic, except for some palpitations, a large left auricle (LA) myxoma was fortuitously diagnosed with transthoracic echocardiography (TEE). Considering the important embolic risk, the tumor was successfully removed during cardiac surgery under cardiopulmonary bypass (CPB). Fetal bradycardia following defibrillation under stable maternal and CPB conditions was successfully managed. The postoperative period and remainder of the pregnancy was smooth and the delivery uneventful.
Bibliography:Academic Editor: Renato Santiago Gomez
ISSN:2090-6382
2090-6390
DOI:10.1155/2019/4181502