Anaesthetic management of a patient with asymptomatic atrial
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ABSTRACT

Left atrial myxomas are rare cardiac tumours. When diagnosed, these need to be surgically excised as early as possible as these are known to cause dangerous complications, e.g. intracardiac obstruction and embolism. But when presented as an incidental finding on routine echocardiography in a patient presenting with epigastric hernia it creates a clinical dilemma as to which surgery should be performed first. We present one such case of left atrial myxoma in a 58 year old male patient, who underwent hernioplasty under general anesthesia with thoracic epidural analgesia.

CASE :

A 58 year old male patient, a manual laborer by occupation, presented to our hospital with epigastric hernia for repair. On examination, he was well built male, weighing 73 kg with a height of 173 cm. The pulse rate was 76/min, regular in rhythm. Blood pressure was 132/86 mmHg in right upper limb in supine position. On auscultation, first and second heart sounds were heard and an additional ‘tumor plop’ was heard......

http://www.apicareonline.com/anesthetic-management-of-a-patient-with-asymptomatic-atrial-myxoma-for-hernia-repair/
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