Cardiac surgery for a right atrial myxoma with traumatic intracranial hemorrhage: a case report

J Cardiothorac Surg. 2023 Oct 17;18(1):295. doi: 10.1186/s13019-023-02402-2.

Abstract

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.

Keywords: Brain computed tomography; Cardiac surgery; Cardiopulmonary bypass; Intracranial hemorrhage; Right atrial myxoma.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Atrial Fibrillation*
  • Cardiac Surgical Procedures*
  • Female
  • Heart Atria / surgery
  • Heart Neoplasms* / diagnosis
  • Heart Neoplasms* / diagnostic imaging
  • Humans
  • Intracranial Hemorrhage, Traumatic* / complications
  • Intracranial Hemorrhage, Traumatic* / diagnosis
  • Intracranial Hemorrhage, Traumatic* / surgery
  • Intracranial Hemorrhages / diagnostic imaging
  • Intracranial Hemorrhages / etiology
  • Intracranial Hemorrhages / surgery
  • Myxoma* / diagnosis
  • Myxoma* / diagnostic imaging