{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T18:20:44Z","timestamp":1785176444919,"version":"3.55.0"},"reference-count":7,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,2,20]]},"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:p>Diagnosing atrial myxoma in pregnancy is challenging because patients may present with non-specific symptoms that might be overlooked. The timing of non-obstetric operation usually depends on the nature of the disease, after careful consideration of feto-maternal safety, including the use of cardiopulmonary bypass and placental transfer of anaesthetic drug. A woman in her 30s at 18 weeks of pregnancy presented with recurring dizziness. She underwent successful myxoma excision at 20 weeks under general anaesthesia and cardiopulmonary bypass. The 6\u00d75\u2009cm myxoma was histologically confirmed as myxoma. Early detection of atrial myxoma in pregnancy is crucial, and a clinician has to consider the diagnosis of left atrial myxoma with mitral valve obstruction as a cause of severe dizziness. Optimal outcomes require multidisciplinary management. In this case, surgery during the second trimester of pregnancy enabled a full-term pregnancy with the patient\u2019s and foetal well-being and normal postprocedural echocardiography.<\/jats:p>","DOI":"10.1136\/bcr-2024-259675","type":"journal-article","created":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T12:01:41Z","timestamp":1709812901000},"page":"e259675","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Dizzy spells in pregnancy: successful antenatal removal of a huge left atrial myxoma with mitral valve obstruction"],"prefix":"10.1136","volume":"17","author":[{"given":"Hafridz Murshid Al-wafi","family":"Shahbuddin","sequence":"first","affiliation":[{"name":"Cardiology Unit, Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4059-6748","authenticated-orcid":false,"given":"Siti Aisyah","family":"Hussin","sequence":"additional","affiliation":[{"name":"Cardiology Unit, Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia"},{"name":"School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kota Bharu, Kelantan, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W Yus Haniff","family":"W Isa","sequence":"additional","affiliation":[{"name":"Cardiology Unit, Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia"},{"name":"School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kota Bharu, Kelantan, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad Zuhdi","family":"Mamat","sequence":"additional","affiliation":[{"name":"School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kota Bharu, Kelantan, Malaysia"},{"name":"Cardiothoracic Surgery Unit, Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariffin","family":"Marzuki","sequence":"additional","affiliation":[{"name":"School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kota Bharu, Kelantan, Malaysia"},{"name":"Department of Anaesthesia and Intensive Care, Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2483-8145","authenticated-orcid":false,"given":"Zurkurnai","family":"Yusof","sequence":"additional","affiliation":[{"name":"Cardiology Unit, Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia"},{"name":"School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kota Bharu, Kelantan, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,3,7]]},"reference":[{"key":"2025082702203785000_17.3.e259675.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(99)00156-3"},{"key":"2025082702203785000_17.3.e259675.2","first-page":"386","article-title":"Cardiac myxoma in pregnancy: a comprehensive review","volume":"30","author":"Yuan","year":"2015","journal-title":"Rev Bras Cir Cardiovasc"},{"key":"2025082702203785000_17.3.e259675.3","doi-asserted-by":"crossref","DOI":"10.5001\/omj.2023.01","article-title":"Successful management of maternal left atrial myxoma in pregnancy","volume":"38","author":"Al Riyami","year":"2023","journal-title":"Oman Med J"},{"key":"2025082702203785000_17.3.e259675.4","first-page":"141","article-title":"Atrial myxoma: trends in management","volume":"2","author":"Lone","year":"2008","journal-title":"Int J Health Sci 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