Key result
Surgical resection of left atrial myxoma under CPB at 19 weeks allows safe full-term delivery.
Why the study?
Does surgical resection under cardiopulmonary bypass allow safe removal of left atrial myxoma and preserve maternal/fetal outcomes in a pregnant patient?
Case Report (n=1)
Does surgical resection under cardiopulmonary bypass allow safe removal of left atrial myxoma and preserve maternal/fetal outcomes in a pregnant patient?
Cardiac surgery under cardiopulmonary bypass for myxoma resection during early pregnancy can be safely performed using a multidisciplinary approach and continuous fetal monitoring.
Answers are grounded in this paper and cite their sources.
Cardiopulmonary bypass enabled successful myxoma resection at 19 weeks with good outcomes; extends anecdotal reports but leaves open optimal protocols.
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.
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Alexis et al. (2019) conducted a case report in Left atrial myxoma in pregnancy (n=1). Surgical resection under cardiopulmonary bypass was evaluated on Successful tumor resection and maternal/fetal survival. Semi-urgent surgical resection of a large left atrial myxoma under cardiopulmonary bypass at 19 weeks gestation was successful, resulting in maternal survival and the delivery of a healthy full-term infant.
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