Left Atrial Myxoma in Pregnancy: A Challenge in Diagnosis and Management
Abstract
Primary tumors of the heart are rare where myxomas predominate as the most common type of primary cardiac tumors in all age groups. Even rarer, the incidence of myxomas during pregnancy is reported extremely low in the medical literature. The hemodynamic changes during pregnancy play an important role in influencing the clinical manifestation. The management is vary, depending on the week of gestation and risk assessment for both the mother and baby.We report a case of left atrial myxoma in 33-34 weeks of pregnancy. After judicious consideration, the patient was planned to have caesarian section at the full term pregnancy that will be followed one week after by tumor resection.
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References
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Parry AJ, Westaby S. Cardiopulmonary bypass during pregnancy. Ann. Thorac. Surg. [Internet]. 1996 [cited 2014 Jan 11];61(6):1865–9. Available from: http://www.sciencedirect.com/science/article/pii/0003497596001506
John AS, Connolly HM, Schaff H V., Klarich K. Management of cardiac myxoma during pregnancy: A case series and review of the literature. Int. J. Cardiol. [Internet]. 2012 [cited 2014 Jan 11];155(2):177–80. Available from: http://www.sciencedirect.com/science/article/pii/S0167527311004827
Burke A, Jeudy Jr J, Virmani R. Cardiac tumors. In: Califf R, Prystowsky E, Thomas J, Thompson P, editors. Topol textbook of cardiovascular medicine 3 ed. Lippincot Williams&Wlikins; 2007. p. 711–5.
Swanton BRH, Banerjee S. Swanton ’ s. Cardiac tumors. In: Swanton H, Banerjee S, editors. Swanton’s cardiology.6th ed. Blackwell Publishing; 2008. p. 466–9.
Buser P, Buck T, Plicht B. Primary cardiac tumors. In: Zamorano JL, Jeroen B, Rademakers F, Juhani K, editors.The european society of cardiology textbook of cardiovascular imaging. Springer; 2010. p. 538–41.
Sung RJ, Ghahramani a. R, Mallon SM, Richter SE, Sommer LS, Gottlieb S, et al. Hemodynamic features of prolapsing and nonprolapsing left atrial myxoma. Circulation [Internet]. 1975 Feb 1 [cited 2014 Jan 11];51(2):342–9. Available from: http://circ.ahajournals.org/cgi/doi/10.1161/01.CIR.51.2.342
Harrison JW, Mccormack LJ, Ernstene a. C. Myxoma of the left atrium simulating mitral stenosis. Circulation [Internet]. 1954 Nov 1 [cited 2014 Jan 11];10(5):766–71. Available from: http://circ.ahajournals.org/cgi/doi/10.1161/01.CIR.10.5.766
Fuster V, Rourke R, Wilson PP, Walsh R. Hursts . Mitral valve stenosis. In: Fuster V, Rourke R, Wilson PP, Walsh R, editors. Hursts the heart 12th ed. Mc Graw Hill’s; 2008. p. Chapter 77.
Warnes C. Pregnancy and heart disease. In: Bonow R, Mann D, Zipes D, Libby P, editors. Braunwald’s heart disease. 9th ed. Elsevier Saunders; 2012. p.1770-80.
Parry AJ, Westaby S. Cardiopulmonary bypass during pregnancy. Ann. Thorac. Surg. [Internet]. 1996 [cited 2014 Jan 11];61(6):1865–9. Available from: http://www.sciencedirect.com/science/article/pii/0003497596001506
Published
2015-03-31
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How to Cite
Candrasatria, R., Siswanto, B., Hersunarti, N., Soerarso, R., Kuncoro, B., & Soesanto, A. (2015). Left Atrial Myxoma in Pregnancy: A Challenge in Diagnosis and Management. Indonesian Journal of Cardiology, 35(1), 34-9. https://doi.org/10.30701/ijc.v35i1.373
Section
Case Reports
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