A case of left atrial myxoma: anaesthetic management.
Left Atrial Myxomas are notorious for their varied presentations. We describe one such case which initially presented with hemiparesis and seizures and was diagnosed as cerebral infarction and treated accordingly and decompression craniotomy with hinge flap was done for raised ICP and impending brain herniation. The main cause was a left atrial myxoma, which was diagnosed only in follow up. The myxoma has embolised to give rise to cerebral infarction. The LA myxoma was then successfully operated under general anaesthesia and Cardiopulmonary bypass (CPB).
Pradhan
B
B
Department of Anesthesiology, TUTH, Kathmandu, Nepal. biswaspradhan@yahoo.com
Acharya
S P
SP
D000328:Adult; D000359:Aftercare; D000768:Anesthesia, General / Q000379:methods*; D002315:Cardiopulmonary Bypass / Q000379:methods; D002544:Cerebral Infarction / Q000209:etiology; D003399:Craniotomy; D019299:Decompression, Surgical; D042241:Early Diagnosis; D004452:Echocardiography; D004562:Electrocardiography; D006325:Heart Atria; D006338:Heart Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D020766:Intracranial Embolism / Q000209:etiology; D008297:Male; D008991:Monitoring, Physiologic; D009232:Myxoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D009390:Nepal; D010291:Paresis / Q000209:etiology; D019990:Perioperative Care / Q000379:methods; D012640:Seizures / Q000209:etiology; D014057:Tomography, X-Ray Computed; D014474:Unconsciousness / Q000209:etiology