Author:
Liu Yanli,Wang Haiping,Huang Huanlei,Han Fengzhen,Zhuang Jian,Ou Yanqiu,Lin Yanyan,Zhang Weina
Abstract
Abstract
Background
Left atrial myxoma during pregnancy is rare. We present three cases in order to aid in the management.
Case Presentation
Three cases of left atrial myxoma during pregnancy were presented in this article. Three patients all received multidisciplinary team work and acquired good outcomes. The case 1 had no symptoms and delivered before traditional cardiac surgery. The case 2 and case 3 undergone totally endoscopic minimally invasive cardiac surgery during pregnancy. The case 3 maintained pregnancy to term and gave birth to a healthy baby via vaginal delivery. No relapse of the tumor was observed.
Conclusions
The management of left atrial myxoma during pregnancy ought to be individualized and combined with the gestational age. If the diagnosis was made in the first two trimesters of pregnancy, totally endoscopic minimally invasive cardiac surgery during pregnancy would be an optimal choice. The patients can benefit from the multidisciplinary team work.
Funder
Guangzhou Municipal Science and Technology Bureau
National Natural Science Foundation of China
Department of Science and Technology of Guangdong Province
Publisher
Springer Science and Business Media LLC
Reference25 articles.
1. McManus B, Lee CH. Primary tumors of the heart. In: Libby P, et al. editors. Brunwald’s Heart Disease. Philadelphia, PA: Saunders Elsevier; 2008. pp. 1815–28.
2. Reynen K. Cardiac myxomas. N Engl J Med. 1995;333:1610–7.
3. Koukis I, Velissaris T, Pandian A. Left atrial myxoma associated with mitral valve pathology in pregnancy. Hell J Cardiol. 2013;54:138–42.
4. Pinede L, Duhaut P, Loire R. Clinical presentation of left atrial cardiac myxoma. A series of 112 consecutive cases.Medicine. (Baltimore). 2001;80:159–72. https://doi.org/10.1097/00005792-200105000-00002.
5. John AS, Connolly HM, Schaff HV, Klarich K. Management of cardiac myxoma during pregnancy: a case series and review of the literature. INT J CARDIOL. 2012;155:177–80. https://doi.org/10.1016/j.ijcard.2011.05.069.