CASE REPORT
Year : 2022  |  Volume : 16  |  Issue : 4  |  Page : 488-490

Anesthetic management of primary cardiac tumor in the coronary sinus and right atrium


1 Department of Anesthesiology, Aichi Children's Health and Medical Center, 426 Nana-chome, Morioka-cho, Obu-city, Aichi, Japan
2 Department of Anesthesiology, Kobe City Medical Center General Hospital, Chuo-ku, Kobe City, Hyogo, Japan

Correspondence Address:
Ayu Yamada
Department of Anesthesiology, Aichi Children's Health and Medical Center, 426 Nana-chome, Morioka-cho, Obu-city, Aichi 478-8710
Japan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sja.sja_130_22

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The patient presented with complete atrioventricular block and dyspnea. They had a primary cardiac tumor originating in the coronary sinus, a rare site of origin. It filled the sinus and involved the right atrium. The patient might have presented with complete atrioventricular block due to tumor invasion and respiratory distress due to elevated LVEDP as the tumor filled the coronary sinus. As for anesthesia management, in addition to the usual management, we observed CS obstruction and also considered myocardial protection methods. It is important to anticipate the risks and develop an appropriate anesthetic plan accordingly.


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