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

Autor: Alexis A; Department of Anesthesiology, University Hospital Saint-Pierre, Université Libre de Bruxelles (ULB), Brussels, Belgium., Origer P; Department of Anesthesiology, University Hospital Saint-Pierre, Université Libre de Bruxelles (ULB), Brussels, Belgium., Hacquebard JP; Department of Anesthesiology, University Hospital Saint-Pierre, Université Libre de Bruxelles (ULB), Brussels, Belgium., De Cannière D; Department of Cardiac Surgery, University Hospital Saint-Pierre, Université Libre de Bruxelles (ULB), Brussels, Belgium., Germay O; Department of Anesthesiology, University Hospital Saint-Pierre, Université Libre de Bruxelles (ULB), Brussels, Belgium., Vandenbossche JL; Department of Cardiology, University Hospital Saint-Pierre, Université Libre de Bruxelles (ULB), Brussels, Belgium., Kapessidou Y; Department of Anesthesiology, University Hospital Saint-Pierre, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Jazyk: angličtina
Zdroj: Case reports in anesthesiology [Case Rep Anesthesiol] 2019 Dec 12; Vol. 2019, pp. 4181502. Date of Electronic Publication: 2019 Dec 12 (Print Publication: 2019).
DOI: 10.1155/2019/4181502
Abstrakt: 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.
Competing Interests: The authors declare that they have no conflicts of interest.
(Copyright © 2019 Alexandros Alexis et al.)
Databáze: MEDLINE
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