Korean J Anesthesiol.  2004 Apr;46(4):484-488. 10.4097/kjae.2004.46.4.484.

Anesthetic Management for the Excision of Left Atrial Myxoid Sarcoma Preoperatively Diagnosed as a Left Atrial Myxoma: A case report

• Lim HK
• Lee HS
• Park HJ
• Jung JK
• Song JH
• Song JM
• Lee CS

• KMID: 2299063
• DOI: http://doi.org/10.4097/kjae.2004.46.4.484

Abstract

We report a case of myxoid sarcoma in the left atrium, which was diagnosed as benign myxoma on preoperative echocardiography. At operation, semisolid mobile masses were found that attached with broad stalk to the posterior left atrial wall and that invaded into the left pulmonary vein and the anterior mitral leaflet. The patient underwent excision of left atrial tumor masses, mitral valve replacement, and left pneumonectomy. The histological diagnosis was undifferentiated cardiac myxoid sarcoma. Although echocardiography lead to the choice of diagnostic test of intra-atrial tumor, magnetic resonance imaging, computed tomography, and intraoperative transesophageal echocardiography may be needed for differential diagnosis, with indeterminate malignant findings on preoperative transthoracic echocardiography. Anesthesiologists are often confronted with cases that are unusual, therefore preoperative understanding of the cases are important for safe anesthetic management.

Keyword

anesthetic management; cardiac myxoid sarcoma; cardiac myxoma; echocardiography

MeSH Terms

Diagnosis
Diagnosis, Differential
Diagnostic Tests, Routine
Echocardiography
Echocardiography, Transesophageal
Heart Atria
Humans
Magnetic Resonance Imaging
Mitral Valve
Myxoma*
Pneumonectomy
Pulmonary Veins
Sarcoma*