Nikhil Mudgalkar¹, Kasturi Ravinder Reddy², K V Sampath Kumar³,Velimala Swaroopa⁴,

¹Professor, ^3,4Senior Resident, Department of Anesthesia, ²Professor, Department of General Medicine, Prathima Institute of Medical Sciences,Nagnur road ,Karimnagar,Telangana,India.

Address for correspondence: Dr K V Sampath Kumar, Senior Resident, Department of Anesthesia, Prathima Institute of Medical Sciences,Nagnur road ,Karimnagar,Telangana,India.

Email: kas.sampa@gmail.com

Introduction: Patient with right atrial myxomapose a particular challenge to Anesthesiologist. We present a case of 60 year old female presenting with giant right atrial myxoma posted for excision. The tumor was removed successfully in controlled condition under cardiopulmonary bypass. Knowledge of pathophysiology, careful optimization of patient and readiness for sudden cardiac arrest in view of blockade of right ventricular inlet are major issues in intraoperative period. Rarity of disease pose particular challenge in view of lack of expertise for even experience anesthesiologist careful planning and vigilance are key to success.

Keywords :Anesthesia, invasive monitoring, cardiopulmonary bypass, right atrial myxoma.