Key result
Second-trimester left atrial myxoma excision yields successful maternal and fetal outcomes.
Why the study?
There is no consensus on the monitoring and treatment of atrial myxoma in pregnancy due to limited experience and few reported cases.
Case Report (n=1)
Semi-urgent surgical excision of a massive left atrial myxoma during the second trimester of pregnancy on cardiopulmonary bypass is feasible and can yield excellent maternal and fetal outcomes with multidisciplinary care.
May support second-trimester myxoma excision in pregnancy; leaves open need for additional cases before wider adoption.
Atrial myxoma, a rare benign tumour of the heart, predominantly affects women in the reproductive age group. There is no consensus on the monitoring and treatment of atrial myxoma in pregnancy, as the experience is limited to a few cases reported in the literature. We report a case of a pregnant individual referred with suspected left atrial thrombus, finally diagnosed to have pedunculated left atrial myxoma and underwent successful resection along with caesarean section, resulting in good maternal-fetal outcomes.
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Pegu et al. (2024) conducted a case report in Left atrial myxoma in pregnancy (n=1). Surgical excision and elective caesarean section was evaluated on Maternal and fetal outcomes. Surgical excision of a massive left atrial myxoma during the second trimester of pregnancy followed by elective caesarean section resulted in good maternal and fetal outcomes.
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