Report an error   


Submitted: 16 May 2007 Modified: 03 February 2016
HERDIN Record #: PCHRDPC010744

Cardiopulmonary bypass in a pregnant patient with left atrial myxoma.

Anita Lourdes S. Misajon-Tesoro,
Bonifacio J. Fontanilla,
Adelina S. Lim

See More

Myxomas comprise 30-50 % of primary cardiac tumors making it the most common type. Most cases are sporadic, but familial occurrence has been described. Myxomas can occur as early as three years of age to as late as 83 years of age. Sporadic cases are known to occur at age groups ranging from 39-82 years, with a mean age of 56 years. Familial myxoma, on the other hand, are likely to occur in the younger age group. Seventy percent of cases occur among adult female patients. Five cases of atrial myxoma discovered during pregnancy have already been reported. It is therefore the objective of this report to document the first successful case of atrial myxoma excision in the Philippines with the aid of cardiopulmonary bypass under general anesthesia, during the second trimester of pregnancy.

Publication Type
Journal
Publication Sub Type
Case report
Title
Philippine Journal of Anesthesiology
Frequency
Semi-Annual
Publication Date
June 1999
Volume
11
Issue
1
Page(s)
49-53
LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Library Box No. 115 Fulltext pdf (Request Document)
1. Allard, MF , et al, . Primary cardiac tumors. Cardiopulmonary diseases and cardiac tumors. Atlas of Heart Diseases Philadelphia: Current Medicine, 1995. 1-15,22.. (Vol. 3)
2. Reynen, K . "Frequency of primary tumors of the heart" American Journal of Cardiology 77(1): 107, January 1996. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/8540447
3. Columbus, MR , de Re Anatomica, . Libri XV Paris: 1562. 402.
4. King, T W. "On simple vascular growths in the left auricle of the heart" The Lancet 46(1155): 428-429, October 1845. Retrieved from: http://download.thelancet.com/journals/lancet/article/PIIS0140-6736%2802%2987782-0/fulltext
5. Gray, IR , et al, . "Recurring cardiac myxoma" British Heart Journal 53(6): 645-649, June 1985. Retrieved from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC481829/
6. Silverman, et al. . "Primary cardiac tumors" Ann Surg 19, 127-128, 1980
7. Braunwald, E. , et al., . Heart disease: A textbook of cardiovascular medicine Philadelphia: W.B. Saunders Company, 1997. 1464-1467. (5th ed.)
8. Vidaillet, HJ , et al., . British Heart Journal 57, 247, 1987
9. Farah, MG . "Familial cardiac myxoma. A study of relatives of patients with myxoma" Chest 105(1): 65-68, January 1994. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/8275787
10. Trimakas, AP , et al., . "Fetal Monitoring during cardiopulmonary bypass for removal of a left atrial myxoma during pregnancy" Johns Hopkins Med J. 144(5): 156-160, May 1979. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/449172
11. Becker, RM . "Intracardiac surgery in pregnant women" Ann Thorac Surg. 36(4): 453-458, October 1983. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/6625739
12. Casarotto, D , et al., , Casarotto, D , et al., . "Surgical removal of a left atrial myxoma during pregnancy." Chest 75, 390-392, . Retrieved from: http://journal.publications.chestnet.org/article.aspx?articleid=1050253
13. Mercer, LJ , Aisenbrey, G. . "Atrial myxoma as a complication of tocolytic therapy. A case report." J Reprod Med. 30(7): 561-562, July 1985. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/4032397
14. Levy, D , et al., . "Fetal response to cardiopulmonary bypass" Obstet Gynecol. 56(1): 112-115, July 1980. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/7383474
15. Greenwood, AJ . "Profiel of atrial myxoma" Am J Cardiol 21, 376-378, 1968
16. Salcedo, E , et al., . "Cardiac tumors: diagnosis and treatment" Curr Probl Cardiol 17, 73, 1992
17. Avila, WS , et al., . "Course of pregnancy and puerperium in women with mitral valve stenosis" Rev Assoc Med Bras. 38(4): 195-200, December 1992. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/1340375
18. Zeldis, SM . "Dyspnea during pregnancy: distinguishing cardiac from pulmonary causes." Clin Chest Med. 13(4): 567-585, December 1992. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/1478019
19. Bortolotti, U . "Surgical excision of intracardiac myxomas: a 20-year follow-up" Ann Thorac Surg. 49(3): 449-453, March 1990. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/2310252
20. Dein, J . "Primary cardiac neoplasm: early and late diagnosis of surgical treatment in 42 patients" J Thorac cardiovasc Surg 93, 502-511, 1987
21. Sellke, FW . "Surgical treatment of cardiac myxomas: long-term results" Ann Thorac Surg. 50(4): 557-561, October 1990. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/2222043
22. Livi, U , et al., . "Cardiac myxomas: results of 14 years" Thorac Cardiovasc Surg. 32(3): 143-147, June 1984. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/6206592
23. Disesa, VJ , et al., . "Considerations in the surgical management of left atrial myxoma" J Card Surg. 3(1): 15-22, March 1988. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/2979999
24. Honet, JE . "Anesthesia for surgery during pregnancy" Obstet Anesth , 179-187, 1993
25. Leyse, R , et al., . "Congenital aortic stenosis in pregnancy corrected by extracorporeal circulation" JAMA 179, 1109-1112, 1961
26. Bernal, JM , Miralles, RJ . "Cardiac surgery with cardiopulmonary bypass during pregnancy" Obstet Gynecol Surv 41, 1-6, 1986
27. Strickland, RA . "Anesthesia, cardiopulmonary bypass, and the pregnant patient" Mayo Clin Proc. 66(4): 411-429, April 1991. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/2013992
28. Pomini, F , et al., . "Cardiopulmonary bypass in pregnancy" Ann Thorac Surg. 61(1): 259-268, January 1996. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/8561577
29. Koh, KS , et al., . "Fetal monitoring during maternal cardiac surgery with cardiopulmonary bypass" Can Med Assoc J. 112(9): 1102-1104, May 1975. Retrieved from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1956084/
30. Nunley, WC . "Am J Obstet Gynecol. 1989 Sep;161(3):573-6." Am J Obstet Gynecol. 161(3): 573-576, September 1989. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/2782337
31. Gazzaniga, A . Cardiac surgery during pregnancy. Cardiac problems in pregnancy: diagnosis and management of maternal and fetal diseases New York: Alan R. Liss Inc., 1990. 259. (2nd ed.)
32. Duncan, PG , et al., . "Fetal risk of anesthesia and surgery during pregnancy" Anesthesiology 64(6): 790-794, June 1986. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/3717642
33. Physicians desk reference Oradell, NJ: Medical Economics Company, 1991. 2493. (45th ed.)