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  • Title: Perioperative management of critical right ventricular inflow obstruction from right atrial rhabdomyoma.
    Author: Norawat R, Sarkar D, Maybauer MO.
    Journal: Ann Card Anaesth; 2018; 21(4):430-432. PubMed ID: 30333341.
    Abstract:
    Rhabdomyoma is the most common cardiac tumor in infancy and commonly located in the ventricles causing outflow obstruction or arrhythmias. We report a rare pediatric (7 month old) case of a right atrial rhabdomyoma presenting with severe cyanosis and low cardiac output from significant tricuspid inflow obstruction with right to left shunt across a stretched patent foramen ovale. We present an emergency cardiac surgery for right atrial tumor resection, and the management of separating the patient with failing right ventricle from cardiopulmonary bypass using a Glenn shunt, since extracorporeal membrane oxygenation (ECMO) or nitric oxide was not available.
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