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Case Report

Giant Right Atrial Myxoma in the Eighth Decade of Life

Sambhunath Das , Sambhunath Das , Kalpana Irpachi , Shivani Aggarwal , Palleti Rajashekar

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Journal of Cardiovascular Medicine and Surgery 1(1):p 49-53, July - December 2015. | DOI:

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Abstract

Right atrial (RA) myxoma is a benign cardiac tumour commonly found in middle age group with female preponderance.The gradual enlargement of RA myxoma impairs the RA and right ventricle (RV) inflow. We report a giant RA myxoma in an elderly woman in her 8th decade of life, presented with rare complication of pulmonary embolism leading to hemoptysis. The perioperative management of these patients emphasized careful positioning during induction and maintenance to prevent hemodynamic compromise. Drugs causing venodilatation should be used with caution. The cardiac surgeon and anaesthesiologist should anticipate the possibility of emergent CPB and make arrangements before induction of anaesthesia. Intraoperative transesophageal echocardiography monitoring is recommended to aid in recognizing and avoiding tumour embolization.

Keywords: Right Atrial Myxoma; Geriatric Age; Atrial Fibrillation; Hemoptysis; Pulmonary Artery Hypertension.  

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