PDF(Pubmed)
Abstract：
BACKGROUND: Left atrial myxoma during pregnancy is rare. We present three cases in order to aid in the management.
METHODS: Three cases of left atrial myxoma during pregnancy were presented in this article. Three patients all received multidisciplinary team work and acquired good outcomes. The case 1 had no symptoms and delivered before traditional cardiac surgery. The case 2 and case 3 undergone totally endoscopic minimally invasive cardiac surgery during pregnancy. The case 3 maintained pregnancy to term and gave birth to a healthy baby via vaginal delivery. No relapse of the tumor was observed.
CONCLUSIONS: The management of left atrial myxoma during pregnancy ought to be individualized and combined with the gestational age. If the diagnosis was made in the first two trimesters of pregnancy, totally endoscopic minimally invasive cardiac surgery during pregnancy would be an optimal choice. The patients can benefit from the multidisciplinary team work.
METHODS: Three cases of left atrial myxoma during pregnancy were presented in this article. Three patients all received multidisciplinary team work and acquired good outcomes. The case 1 had no symptoms and delivered before traditional cardiac surgery. The case 2 and case 3 undergone totally endoscopic minimally invasive cardiac surgery during pregnancy. The case 3 maintained pregnancy to term and gave birth to a healthy baby via vaginal delivery. No relapse of the tumor was observed.
CONCLUSIONS: The management of left atrial myxoma during pregnancy ought to be individualized and combined with the gestational age. If the diagnosis was made in the first two trimesters of pregnancy, totally endoscopic minimally invasive cardiac surgery during pregnancy would be an optimal choice. The patients can benefit from the multidisciplinary team work.
摘要：
背景：妊娠期间左心房粘液瘤很少见。为了帮助管理，我们提出了三个案例。
方法：本文报道3例妊娠期左房粘液瘤。三名患者均接受了多学科团队合作，并获得了良好的结果。病例1无症状，在传统心脏手术前分娩。病例2和病例3在妊娠期间接受了完全内镜微创心脏手术。病例3维持妊娠至足月，并通过阴道分娩生下了健康的婴儿。没有观察到肿瘤的复发。
结论：妊娠期左心房粘液瘤的治疗应个体化，并与孕龄相结合。如果诊断是在怀孕的前两个三个月，孕期全内镜微创心脏手术是最佳选择。患者可以从多学科团队工作中受益。
方法：本文报道3例妊娠期左房粘液瘤。三名患者均接受了多学科团队合作，并获得了良好的结果。病例1无症状，在传统心脏手术前分娩。病例2和病例3在妊娠期间接受了完全内镜微创心脏手术。病例3维持妊娠至足月，并通过阴道分娩生下了健康的婴儿。没有观察到肿瘤的复发。
结论：妊娠期左心房粘液瘤的治疗应个体化，并与孕龄相结合。如果诊断是在怀孕的前两个三个月，孕期全内镜微创心脏手术是最佳选择。患者可以从多学科团队工作中受益。
