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; Cannière, Didier De; Germay, Olivier; Vandenbossche, Jean‐Luc; Kapessidou, Yota

doi:10.1155/2019/4181502

Cited by 3 publications

(1 citation statement)

References 33 publications

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“…Consequently, the dose of NMBA should be reduced ( 24 ). In a case of left atrial myxoma resection reported by Alexis et al ( 26 ), a low dose of nicardipine, a calcium channel blocker, was used to inhibit uterine contractility and may show an advantage to restore FHR.…”

Section: Discussionmentioning

confidence: 99%

Case Series: Video-Assisted Minimally Invasive Cardiac Surgery During Pregnancy

et al. 2021

Front. Med.

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Surgical intervention is expected to improve maternal outcomes in pregnant patients with heart disease once the conservative treatment fails. For pregnant patients with heart disease, the risk of cardiac surgery under cardiopulmonary bypass (CPB) must be balanced due to the high fetal loss. The video-assisted minimally invasive cardiac surgery (MICS) has been progressively applied and shows advantages in non-pregnant patients over the years. We present five cases of pregnant women who underwent a video-assisted minimally invasive surgical approach for cardiac surgery and the management strategies. In conclusion, the video-assisted MICS is feasible and safe to pregnant patients, with good maternal and fetal outcomes under the multidisciplinary assessment and management.

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Section: Discussionmentioning

confidence: 99%

Case Series: Video-Assisted Minimally Invasive Cardiac Surgery During Pregnancy

et al. 2021

Front. Med.

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Clinical Case Report: Cardiac Myxoma in Pregnancy

Balmukhamedova

Derbissalina

Zemlyanskaya

et al. 2022

Open Access Maced J Med Sci

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BACKGROUND: This article describes cardiac myxoma in a pregnant woman at 15 weeks of gestation. CASE PRESENTATION: A large left atrial myxoma, despite the asymptomatic clinical presentation, was diagnosed during echocardiography. Given the significant risk of cardiac complications, the tumor was surgically removed at 19 weeks gestation. The postoperative period as well as the second and third trimesters of pregnancy were uneventful. At 40 weeks of gestation, live full-term baby was born by vaginal birth mode of delivery without any apparent pathology. CONCLUSION: This case demonstrates the significance of timely diagnosis and treatment of myxoma as well as the need for continuous monitoring at different stages of pregnancy and their positive impact on disease outcome.

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Anaesthetic management of patient with incidental left atrial myxoma posted for wound debridement in hand

Reshma

Ruth

2023

Indian Journal of Anaesthesia

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

Cited by 3 publications

References 33 publications

Case Series: Video-Assisted Minimally Invasive Cardiac Surgery During Pregnancy

Case Series: Video-Assisted Minimally Invasive Cardiac Surgery During Pregnancy

Clinical Case Report: Cardiac Myxoma in Pregnancy

Anaesthetic management of patient with incidental left atrial myxoma posted for wound debridement in hand

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