Management of left atrial myxoma in pregnant women: a case series

J Cardiothorac Surg. 2024 Apr 10;19(1):197. doi: 10.1186/s13019-024-02747-2.

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.

Keywords: Cardiac myxoma; Cardiopulmonary bypass; Outcome; Pregnancy; Totally endoscopic minimally invasive cardiac surgery.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Heart Atria / surgery
  • Heart Neoplasms* / diagnosis
  • Heart Neoplasms* / surgery
  • Humans
  • Myxoma* / diagnosis
  • Myxoma* / surgery
  • Neoplasm Recurrence, Local
  • Pregnancy
  • Pregnant Women