Primer kalp tümörlerinin insidansı düşük olup, tüm kalp ameliyatlarının yalnızca %0.3'ünü oluştururlar. Atriyal miksomalar primer kalp tümörlerinin en sık görülen tipidir ve bunlar hızlı büyüdüklerinde yaşamı tehdit eden semptomlar gelişebilir. Pulmoner emboli ve infektif endokardit, sağ atriyal miksomanın nadir komplikasyonudur. Bu yazıda pulmoner emboli ve infektif endokardit ile komplike olmuş sağ atriyal miksomalı hastaya minimal invaziv koroner arter baypas greft cerrahisi sırasında uygulanan hızlı derlenme kardiyak anestezisi işlemi ve anestezi yönetimi sunuldu.Anah tar söz cük ler: Atriyal miksoma; hızlı derlenme kardiyak anestezi; enfektif endokardit; pulmoner emboli.The incidence of primary cardiac tumors is low, accounting for only 0.3% of all open cardiac operations. Atrial myxomas are the most common type of primary cardiac tumors, and they may progress to life-threatening symptoms when they enlarge rapidly. Both pulmonary embolism and infective endocarditis are rare complications of right atrial myxomas. In this article, we report the anesthetic management of a patient with right atrial myxoma complicated by pulmonary embolism and infective endocarditis who was treated surgically with a fast-track cardiac anesthesia procedure during minimally invasive coronary artery bypass graft surgery.Key words: Atrial myxoma; fast-track cardiac anesthesia; infective endocarditis; pulmonary embolism.Atrial myxoma is the most frequent cardiac benign tumor and is present in approximately 0.0017%-0.33% of autopsy series. Right atrial myxomas are rare and occur three to four times less frequently than left atrial myxomas. [1] Pulmonary embolism and infective endocarditis are two rare complications of right atrial myxomas. The literature contains only a few reports concerning these complications and their anesthetic management. [1,2] In our case report, we discuss a patient who had right atrial myxoma complicated by pulmonary embolism and infective endocarditis. He was treated surgically with a fast-track cardiac anesthesia (FTCA) protocol. CASE REPORTA 39-year-old man presented with a one-week history of chest pain, fever, and bloody sputum. His heart rate (HR) was 110 beats/min, his oxygen saturation (SpO2) level was 92%, and his temperature was 38° Celsius. Breathing sounds were not heard in the left lower part of the lung, and there was a diastolic murmur on the right side of the sternum. Pulmonary embolism was confirmed by thoracic computed tomography (CT) (Figure 1). At first, an anticoagulation therapy of enoxaparin sodium 2x 0.8 subcutaneously (sc) and coumadin 5 mg peroral (po) was given, but only the enoxaparin sodium 2x 0.8 was continued for three days until the operation was performed.