NAVIGATING THE COMPLEXITY: SUCCESSFUL SURGICAL MANAGEMENT OF CARDIAC MYXOMA IN THE EARLY SECOND TRIMESTER

Received 2023-09-12; Accepted 2024-03-31; Published 2024-10-07

Authors

  • Nik Ahmad Hilmi Nik Mohd Zaid Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
  • Othman Puteh Department of Radiology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.
  • Zul Khairul Azwadi Ismail Department of Radiology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.
  • Mohd Azaad Abdul Hamid Department of Radiology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.

DOI:

https://doi.org/10.22452/jummec.vol27no2.26

Abstract

Cardiac myxoma poses unique challenges during pregnancy, emphasizing the critical interplay between maternal and fetal well-being. This study aimed to discuss the successful surgical management of a large cardiac myxoma with functional mitral stenosis encountered during the second trimester of pregnancy. We report a case of a 38-year-old woman with a history of hypertension, who initially declined recommended surgery. Two years later, she presented with exacerbated symptoms and was found to be 18 weeks pregnant. Despite the complexity of severe left heart obstruction and potential maternal-fetal complications, a well-coordinated, multidisciplinary approach was used to ensure the successful removal of the myxoma, highlighting the viability of surgical intervention during the second trimester. The case emphasizes the importance of proactive surgical considerations in addressing life-threatening cardiac conditions in pregnant women.

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Published

2024-10-07

Issue

Section

Research article