Anaesthetic management of a patient with left atrial myxoma undergoing emergency non-cardiac surgery: A case report

Atrial myxomas are uncommon primary cardiac tumours, often detected incidentally. Their presence poses significant anaesthetic challenges during non-cardiac surgeries, especially emergencies, due to the risk of obstructive haemodynamics and embolic phenomena. We report the successful perioperative management of a 69-year-old male with an incidentally diagnosed left atrial myxoma posted for emergency orthopaedic surgery following trauma. With meticulous planning, vigilant monitoring, and tailored anaesthetic strategies focusing on preload optimisation and rhythm stability, the surgery was completed uneventfully. This case highlights key perioperative considerations for clinicians managing similar high-risk patients.

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Publication Details

Journal
Journal of Perioperative Practice
Published
2026-06-16
DOI
https://doi.org/10.1177/17504589261454169
Primary Topic
Cardiac tumors and thrombi
Type
article
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article

Anaesthetic management of a patient with left atrial myxoma undergoing emergency non-cardiac surgery: A case report

Aruna Parameswari, V. Mohanraj, Arul Murugan Ramasamy, Aruna Parameswari
Journal of Perioperative Practice
Cardiac tumors and thrombi
article

Anaesthetic management of a patient with left atrial myxoma undergoing emergency non-cardiac surgery: A case report

Aruna Parameswari, V. Mohanraj, Arul Murugan Ramasamy, Aruna Parameswari
article en

Abstract

Atrial myxomas are uncommon primary cardiac tumours, often detected incidentally. Their presence poses significant anaesthetic challenges during non-cardiac surgeries, especially emergencies, due to the risk of obstructive haemodynamics and embolic phenomena. We report the successful perioperative management of a 69-year-old male with an incidentally diagnosed left atrial myxoma posted for emergency orthopaedic surgery following trauma. With meticulous planning, vigilant monitoring, and tailored anaesthetic strategies focusing on preload optimisation and rhythm stability, the surgery was completed uneventfully. This case highlights key perioperative considerations for clinicians managing similar high-risk patients.

Journal of Perioperative Practice
Sri Ramachandra Institute of Higher Education and Research (IN)
Good health and well-being
Openalex Percentile: Top 7%
Cardiac tumors and thrombi
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