Anaesthetic Management of Right Atrial Myxoma - A Case report
Abstract
Cardiac myxomas account for 50% of all benign primary cardiac tumors. Rarely, these tumors occur in right atrium ( 10 - 20% ) with a stalk frequently attached to inter atrial septum. Right atrial myxomas can lead to right atrial enlargement, arrhythmias, functional tricuspid stenosis, right heart failure and catastrophic pulmonary embolization resulting in sudden cardiac death. Anaesthetic management of patients with right atrial myxomas can be complicated by mass effect of myxoma, preload limitations and potential for cardiovascular collapse. when diagnosed, these tumors need to be surgically excised as early as possible as these are known to cause dangerous complications. we present a case of right atrial myxoma in a 42 year old male patient who underwent excision of right atrial mass on cardiopulmonary bypass under general
anaesthesia.
Right atrial myxoma, cardiopulmonary bypass.
Full Text:
PDFReferences
Arruda MV, Braile DM, Joaquim MR, Soares MJF, Alves RH. Resection of left ventricular myxoma after embolic stroke. Rev Bras Cir Cardiovasc. 2008;23(4):578-80.
Abad C. Cardiac tumors. l. General considerations. Benign Primary tumors. Rev Esp Cardiol. 1998;51(1):10-20.
Oliveira R, Branco L, Galrinho A, Abreu A, Abreu J, Fiarresga A, etal. Cardiac myxoma: a 13- year experience in echocardiographic diagnosis. Rev PortCardiol.2010; 29(7-8):1087-100
Hameedullah A, Khan HAR,Tariq M, Hashmi S, Ullah H, Fatimi SH, Hasan SB. Atrial myxoma: a 14 year experience. Anaesth Pain & Intensive Care.2016;20 Suppl 1: S57-S63.
Pradhan B, Acharya SP: A case of Left atrial myxoma: Anaesthetic management, KUMJ 2006,Vol. 4, No:3, Issue 15, 349-353.
Howard A. Moritz MD, Said S, Azad MD. Right atrial myxoma: case report and anaesthetic considerations. CAN J ANAESTH 1989/36:2/PP 212-214.
Siddiqui KM, Asghar A, Munshi K. Early diagnosis and resection of right atrial mass in a neonate. Anaesth Pain & Intensive Care.2016;20 Suppl 1: S161-S164.
Deepak K. Tempe. Clinical practice of Cardiac Anaesthesia.2013;9:236-238.
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
An initiative of The Tamil Nadu Dr M.G.R. Medical University