Anaesthetic management of a patient with left atrial myxoma undergoing emergency non-cardiac surgery: A case report.
Vignesh Mohanraj, Arul M Ramasamy, Anisha Pauline Paul et al.
✦ AI-curated · Sources linked
Case in brief
A 69-year-old man with trauma requiring emergency orthopaedic surgery was found incidentally to have a left atrial myxoma. Because the tumour raised concerns about obstructive haemodynamics and embolic events during non-cardiac surgery, the anaesthetic plan emphasised maintaining preload and rhythm stability, with meticulous planning and vigilant monitoring. The operation was completed uneventfully.
What made this case unusual
The anaesthetic challenge was managing an incidentally identified left atrial myxoma during emergency orthopaedic surgery after trauma.
Diagnostic / clinical pearl
In a patient with left atrial myxoma requiring emergency non-cardiac surgery, perioperative planning should account for potential haemodynamic obstruction and embolic phenomena, with attention to preload and rhythm stability.