title: [Resection of intracardiac myxoma. Case report].
abstract: Myxomas are the most common benign cardiac tumors, which are considered emergency surgery. The resection should not be delayed because 8-9% of affected patients may die due to intracardiac blood flow obstruction. We presente a clinical case of a 47 year old female, history of dyslipidemia. Disease starts with retrosternal oppression feeling, dyspnea on moderate exercise, dizziness, pain in joints hands. Arrhytmic heart sounds, diastolic mitral murmur II/IV, breth sounds present, no lymph. Laboratory: hemoglobin 11.0, leucocyte 9000, glucose 96 mg/dL, chest RX medium arch prominence cardiac silhouette. ECO transthoracic LVEF 60 %, with left atrial intracardiac tumor 13x11 cm, pedicle fixed the interatrial septum, the mitral valve bulges, with mild mitral valve. Half sternotomy is performed intracardiac tumor resection, pericardial placement interatrial with extracorporeal circulation support 65', aortic clamping time of 40'. Intracardiac tumor surgical findings interatrial septum fixed to left side, pedicle, rounded, yellow, multiloculated, soft, 13x10 cm in diameter. Histopathological diagnosis cardiac myxoma. We conclude that the tumor resection was carried in a timely manner with satisfactory evolution.
authors.affiliation: Instituto Mexicano del Seguro Social, Acapulco de Juárez, Guerrero, México. drvicsurgery1@yahoo.com.mx.
authors.forename: Víctor Manuel
authors.initials: VM
authors.lastname: Carmona-Delgado
authors.forename: Angélica María
authors.initials: AM
authors.lastname: Deloya-Maldonado
authors.forename: María Lourdes
authors.initials: ML
authors.lastname: Carranza-Bernal
authors.forename: Arturo
authors.initials: A
authors.lastname: Hinojosa-Pérez
authors.forename: Leobardo
authors.initials: L
authors.lastname: Farías-Mayene
mesh_terms: D005260:Female; D006325:Heart Atria / Q000473:pathology / Q000601:surgery; D006338:Heart Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D009232:Myxoma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*
keywords: Cardiovascular surgical procedures; Myxoma; Thoracic surgery