Abstract
Atrial myxomas are uncommon primary cardiac tumours, often detected incidentally. Their presence poses significant anaesthetic challenges during non-cardiac surgeries, especially emergencies, due to the risk of obstructive haemodynamics and embolic phenomena. We report the successful perioperative management of a 69-year-old male with an incidentally diagnosed left atrial myxoma posted for emergency orthopaedic surgery following trauma. With meticulous planning, vigilant monitoring, and tailored anaesthetic strategies focusing on preload optimisation and rhythm stability, the surgery was completed uneventfully. This case highlights key perioperative considerations for clinicians managing similar high-risk patients.
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