TRATAMIENTO QUIRÚRGICO URGENTE EN PACIENTE CON MIXOMA AURICULAR IZQUIERDO PEDICULADO / Emergency surgery in a patient with a pedunculated left atrial myxoma

Abstract

The intracavitary cardiac tumors have a special place in cardiac surgery due to their peculiar characteristics. Some of them are considered surgical emergencies. The resection must not be delayed because 8 to 10 percent of the affected patients can die, while waiting for surgery, as a result of an intracardiac obstruction of the blood flow. In everyday practice it is not common that patients with cardiac tumors undergo surgery just a few hours after the confirmation of the diagnosis by means of echocardiographic studies. The case of a patient, who had a diagnosis of a large pedunculated left atrial myxoma, with incursion into the left ventricle during diastole, and underwent an emergency surgery due to the threat of fragmentation and embolization resulting from the morphologic characteristics of the tumor, is presented in this article.

Keywords

• myxoma
• cardiac surgery
• surgical urgency