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Cardiac surgery for a right atrial myxoma with traumatic intracranial hemorrhage: a case report
Maki Ichinose1, Masanori Ogiwara2, Masahiko Ozaki2
1Department of Anesthesiology, Showa General Hospital, Tokyo, Japan. maki.i.8700@gmail.com.
Insights
The optimal timing for cardiac surgery using cardiopulmonary bypass (CPB) in patients with intracranial hemorrhage and a right atrial myxoma is crucial. Brain CT scans should guide the decision for safe and uneventful surgical intervention.
Area of Science:
- Cardiology
- Neurosurgery
- Cardiac Surgery
Background:
- The management of intracranial hemorrhage (ICH) in patients requiring cardiac surgery with cardiopulmonary bypass (CPB) presents a complex clinical challenge.
- The optimal timing for performing CPB in the context of ICH remains a subject of debate.
Background:
The timing of cardiac surgery with cardiopulmonary bypass (CPB) for intracranial hemorrhage is controversial.
Case Presentation:
We report the case of an 82-year-old woman who was transferred to our hospital because of a head injury. Brain computed tomography (CT) revealed traumatic intracranial hemorrhage, and transthoracic echocardiography revealed a giant right atrial myxoma. After confirming the disappearance of intracranial hemorrhage on brain CT, cardiac surgery with CPB was performed, which was uneventful.
Conclusions:
For an uneventful surgery, the optimal timing of cardiac surgery with CPB in patients with giant right atrial myxoma and intracranial hemorrhage should be based on brain CT.
