Anaesthetic management of a patient with asymptomatic atrial
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Left atrial myxomas are rare cardiac tumors. When diagnosed, surgical excision should be done as early as possible, as these are known to cause dangerous complications like intracardiac obstruction and embolism. However, these may present as an asymptomatic incidental finding in a patient scheduled for elective non-cardiac surgery. Cardiac surgery is always dreadful and is a very costly affair. It may be impossible to convince an asymptomatic patient to undergo cardiac surgery to get his hernia repaired. This situation poses a clinical dilemma to the anesthesiologist; whether to proceed with hernia surgery or to refuse it. This article presents one such case of left atrial myxoma in a 58-year-old male patient, who underwent hernioplasty under general anaesthesia with thoracic epidural analgesia...

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