Anaesthetic Management of Cardiac Myxoma Patient with Systemic Involvement: A Case Report

Authors: Sharma M , Chauhan R , Kumar V and Jain R

DOI: 10.23880/accmj-16000252

Volume 10, Issue 1

Abstract

Although the metastatic involvement of heart is more common, the incidence of Primary Cardiac Tumour is very less (0.001- 0.03 percent of the population). Myxomas, the commonest Primary Cardiac Tumours, are usually benign. However, they can manifest symptoms of systemic involvement, depending upon their location. 75% of the myxomas are located in the left atria of the heart, although no chamber of the heart is immune. Commonly they have pedunculated morphology, with peduncle usually attached to the atrial inter-atrial septum. The symptoms of systemic involvement are common when the myxomas are located in left atria. Diagnosing these Cardiac myxomas can be challenging, especially when the presentation is diverse due to systemic involvement. Echocardiography is helpful in the diagnosis of these cases, although there are reports of various blood markers to be helpful. Once the diagnosis is made, tumour excision is to be undertaken in a timely manner. We present a case of patient left atrial myxoma that had signs of involvement of multiple organs- lungs, abdomen and nervous system. We will be discussing the manner in which we proceeded with the case, taking care of involved organs and optimization of their functions along with the literature review of such cases in this article.

Keywords: Mymomas; Anaesthesia; Systemic involvement; Signs and Symptoms

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