RESUMEN
Mitral regurgitation is uncommon with left atrial myxoma. The echocardiographic assessment of presence of mitral regurgitation and its severity are impaired by the presence of left atrial myxoma. We describe an uncommon association of left atrial myxoma with coronary artery disease and mitral regurgitation. MR was reported as mild on pre‑operative transthoracic echocardiography but found to be severe due to ruptured chordae tendinae during intra‑operative transesophageal echocardiography, which lead to change in the surgical plan to mitral valve replacement in addition to excision of myxoma.
Asunto(s)
Adulto , /lesiones , Enfermedad de la Arteria Coronaria/etiología , Ecocardiografía/métodos , Ecocardiografía Transesofágica/métodos , Atrios Cardíacos , Humanos , Masculino , Insuficiencia de la Válvula Mitral/etiología , Mixoma/complicacionesRESUMEN
The primary mechanisms responsible for acute neurological deterioration following cardiopulmonary bypass (CPB) include cerebral embolism, cerebral hypoperfusion and/or inflammatory process triggered by CPB. Extradural hematoma (EDH) following CPB is rare but associated with significant mortality and morbidity. We present a case of EDH following double valve replacement in an adolescent boy.