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...

Descripción completa

Detalles Bibliográficos
Autores principales: Alexis, Alexandros, Origer, Pierre, Hacquebard, Jean-Pierre, De Cannière, Didier, Germay, Olivier, Vandenbossche, Jean-Luc, Kapessidou, Yota
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942744/
https://www.ncbi.nlm.nih.gov/pubmed/31934456
http://dx.doi.org/10.1155/2019/4181502
_version_ 1783484758611722240
author Alexis, Alexandros
Origer, Pierre
Hacquebard, Jean-Pierre
De Cannière, Didier
Germay, Olivier
Vandenbossche, Jean-Luc
Kapessidou, Yota
author_facet Alexis, Alexandros
Origer, Pierre
Hacquebard, Jean-Pierre
De Cannière, Didier
Germay, Olivier
Vandenbossche, Jean-Luc
Kapessidou, Yota
author_sort Alexis, Alexandros
collection PubMed
description 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.
format Online
Article
Text
id pubmed-6942744
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Hindawi
record_format MEDLINE/PubMed
spelling pubmed-69427442020-01-13 Anesthetic Management of a Voluminous Left Atrial Myxoma Resection in a 19 Weeks Pregnant with Atypical Clinical Presentation Alexis, Alexandros Origer, Pierre Hacquebard, Jean-Pierre De Cannière, Didier Germay, Olivier Vandenbossche, Jean-Luc Kapessidou, Yota Case Rep Anesthesiol Case Report 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. Hindawi 2019-12-12 /pmc/articles/PMC6942744/ /pubmed/31934456 http://dx.doi.org/10.1155/2019/4181502 Text en Copyright © 2019 Alexandros Alexis et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Alexis, Alexandros
Origer, Pierre
Hacquebard, Jean-Pierre
De Cannière, Didier
Germay, Olivier
Vandenbossche, Jean-Luc
Kapessidou, Yota
Anesthetic Management of a Voluminous Left Atrial Myxoma Resection in a 19 Weeks Pregnant with Atypical Clinical Presentation
title Anesthetic Management of a Voluminous Left Atrial Myxoma Resection in a 19 Weeks Pregnant with Atypical Clinical Presentation
title_full Anesthetic Management of a Voluminous Left Atrial Myxoma Resection in a 19 Weeks Pregnant with Atypical Clinical Presentation
title_fullStr Anesthetic Management of a Voluminous Left Atrial Myxoma Resection in a 19 Weeks Pregnant with Atypical Clinical Presentation
title_full_unstemmed Anesthetic Management of a Voluminous Left Atrial Myxoma Resection in a 19 Weeks Pregnant with Atypical Clinical Presentation
title_short Anesthetic Management of a Voluminous Left Atrial Myxoma Resection in a 19 Weeks Pregnant with Atypical Clinical Presentation
title_sort anesthetic management of a voluminous left atrial myxoma resection in a 19 weeks pregnant with atypical clinical presentation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942744/
https://www.ncbi.nlm.nih.gov/pubmed/31934456
http://dx.doi.org/10.1155/2019/4181502
work_keys_str_mv AT alexisalexandros anestheticmanagementofavoluminousleftatrialmyxomaresectionina19weekspregnantwithatypicalclinicalpresentation
AT origerpierre anestheticmanagementofavoluminousleftatrialmyxomaresectionina19weekspregnantwithatypicalclinicalpresentation
AT hacquebardjeanpierre anestheticmanagementofavoluminousleftatrialmyxomaresectionina19weekspregnantwithatypicalclinicalpresentation
AT decannieredidier anestheticmanagementofavoluminousleftatrialmyxomaresectionina19weekspregnantwithatypicalclinicalpresentation
AT germayolivier anestheticmanagementofavoluminousleftatrialmyxomaresectionina19weekspregnantwithatypicalclinicalpresentation
AT vandenbosschejeanluc anestheticmanagementofavoluminousleftatrialmyxomaresectionina19weekspregnantwithatypicalclinicalpresentation
AT kapessidouyota anestheticmanagementofavoluminousleftatrialmyxomaresectionina19weekspregnantwithatypicalclinicalpresentation

Ejemplares similares