Anesthesia management of atrial myxoma resection with multiple cerebral aneurysms: a case report and review of the literature
Autor: | Yi Feng, Qing Qiao, Zhiyu Tang, Feroze Mahmood, Ran Zhang |
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Rok vydání: | 2020 |
Předmět: |
Adult
medicine.medical_specialty Case Report Fusiform Aneurysm 030204 cardiovascular system & hematology Heart Neoplasms lcsh:RD78.3-87.3 03 medical and health sciences 0302 clinical medicine Aneurysm Anesthesiology Atrial myxoma Anesthesia Cardiac Procedures medicine Humans cardiovascular diseases Vascular disease business.industry Multiple cerebral aneurysms Myxoma Intracranial Aneurysm Anesthesia management medicine.disease Cardiac surgery Anesthesiology and Pain Medicine medicine.anatomical_structure lcsh:Anesthesiology Anesthesia cardiovascular system Female Complication business 030217 neurology & neurosurgery Interatrial septum |
Zdroj: | BMC Anesthesiology, Vol 20, Iss 1, Pp 1-9 (2020) BMC Anesthesiology |
ISSN: | 1471-2253 |
DOI: | 10.1186/s12871-020-01055-1 |
Popis: | Background Embolic stroke is a common complication of atrial myxoma, whereas multiple cerebral aneurysms associated with atrial myxoma is rare. The pathogenesis of the cerebral vascular disease related to an atrial myxoma is still not well known, and there are no guidelines to guide treatment and anesthesia management in such patients. Case presentation In this report, we present a 38-year-old woman with occasional dizziness and headache diagnosed as multiple cerebral fusiform aneurysms, in whom transthoracic echocardiography revealed a mass attached to the interatrial septum in the left atrium. Myxoma resection was performed in fast track cardiac surgery pathway without neurological complications, and no intervention was carried out on the cerebral aneurysms. She was discharged home 6 days after the procedure for followed-up. Furthermore, we reviewed and analyzed the literature in the PubMed and Google Scholar databases in order to conclude the optimal treatment in such cases. Conclusions Atrial myxoma-related cerebral aneurysms are always multiple and in a fusiform shape in most occasions. Early resection of myxoma and conservative therapy of aneurysm is an optimal treatment. TEE and PbtO2 monitoring play an essential role in anesthesia management. Fast track cardiac anesthesia is safe and effective to early evaluate neurological function. Long term follow-up for “myxomatous aneurysms” is recommended. And outcome of most patients is excellent. |
Databáze: | OpenAIRE |
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