Friday, May 17, 2013

A brief description of cardiac myxomas and the anesthetic implications for anestesia providers. Some of the formatting of this paper has been lost....the superscripts for references lost their format.

MYXOMA Cardiac myxomas be r ar, benign, slow growing primary cardiac tumors demonstrate well-nigh usu eachy in the septum of the left atrium, although they fanny find in both chamber of the emotional state.1,2,3,4 Myxomas score for about 50% of all benign intercardiac tumors making them the most common.14,15,16,17,18 Approximately 70-85% of myxomas guide in the left atrium and the remainder in the right atrium.1,2,5,7,9,10,11,12,13,14,16,17 very(prenominal)(prenominal) rarely virtuoso will occur in any ventricle.1,2,9,12,13,14,16 A very small percentage (10% or less) of myxomas are considered hereditary.1,6,7,9,10,17 Hereditary myxomas typically occur in custody in their 20s.1,6 Non-hereditary myxomas most much occur in women amid the ages of 30 and 60.6,10,15 Myxomas tummy seem white, gray, yellow, brown, or green and can plod from 1 cm to 15 cm in size13,16 with the amount size macrocosm 5-6 cm.13 The tumor itself can every be gelatinous with a lobular surface, or more wish a steady round mass.7,32 The tumor is sort of vascular and whitethorn be coated with thrombi.15 About 30-50% of patients visit embolization to the brain, kidneys, eyes, or extremities.4,7,17 The left atrial myxomas often arise from the f number helping of the septum and may go down by means of the mitral valve during diastole.2,7 Although most myxomas are committed to the septum, they may in increment be attached to the surrounds of the pith chamber or the valves.
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14,17 The tumors stick from the endocardium,13 are attached to the environ by a improvident broad-based attachment called a straw, and swing freely indoors the cardiac chamber.6,12 The freely pitiful tumor may then(prenominal) intermittently block the mitral valve obstructing blood go (this mimics mitral stenosis).6,10 When the patients stands up, gravity can as well pull the myxoma into the opening of the mitral valve blocking blood function into the ventricle.6 Mitral regurgitation may occur if the tumor prolapses by means of the valve and prevents... If you want to get a full essay, order it on our website: Orderessay

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