Management of Right atrial myxoma – Anesthesia perspective

Patient with right atrial myxomapose a particular challenge to Anesthesiologist. We present a case of 60 year old female presenting with giant right atrial myxoma posted for excision. The tumor was removed successfully in controlled condition under cardiopulmonary bypass. Knowledge of pathophysiology, careful optimization of patient and readiness for sudden cardiac arrest in view of blockade of right ventricular inlet are major issues in intraoperative period. Rarity of disease pose particular challenge in view of lack of expertise for even experience anesthesiologist careful planning and vigilance are key to success