A Brief Description Of Cardiac Myxomas And The Anesthetic Implications For Anestesia Providers. Some Of The Formatting Of This Paper Has Been Lost....The Superscripts For References Lost Their Format.

1973 words - 8 pages

MYXOMACardiac myxomas are rare, benign, slow growing primary cardiac tumors found most commonly in the septum of the left atrium, although they can occur in any chamber of the heart.1,2,3,4 Myxomas account for about 50% of all benign intercardiac tumors making them the most common.14,15,16,17,18 Approximately 70-85% of myxomas occur in the left atrium and the remainder in the right atrium.1,2,5,7,9,10,11,12,13,14,16,17 Very rarely one will occur in either ventricle.1,2,9,12,13,14,16 A very small percentage (10% or less) of myxomas are considered hereditary.1,6,7,9,10,17 Hereditary myxomas typically occur in men in their 20's.1,6 Non-hereditary myxomas most often occur in women between the ages of 30 and 60.6,10,15 Myxomas can appear white, gray, yellow, brown, or green and can range from 1 cm to 15 cm in size13,16 with the average size being 5-6 cm.13 The tumor itself can either be gelatinous with a lobular surface, or more like a firm round mass.7,32 The tumor is quite vascular and may be coated with thrombi.15 About 30-50% of patients experience embolization to the brain, kidneys, eyes, or extremities.4,7,17 The left atrial myxomas often arise from the upper portion of the septum and may prolapse through the mitral valve during diastole.2,7 Although most myxomas are attached to the septum, they may also be attached to the walls of the heart chamber or the valves.14,17 The tumors develop from the endocardium,13 are attached to the wall by a short broad-based attachment called a "stalk", and swing freely within the cardiac chamber.6,12 The freely moving tumor may then intermittently block the mitral valve obstructing blood flow (this mimics mitral stenosis).6,10 When the patients stands up, gravity can also pull the myxoma into the opening of the mitral valve blocking blood flow into the ventricle.6 Mitral regurgitation may occur if the tumor prolapses through the valve and prevents proper valve closure.7 Many of the other symptoms are vague and some patients may not experience ANY symptoms.4 Possible symptoms include:1,2,4,5,6Approximately 30-50% of patients experience non-specific symptoms including:1,2,4,5,6,7,9,12,13Low-grade fever, malaise, weight loss, joint pain, Raynaud phenomenaObstructive cardiac symptoms (Left atrial myxomas mimic mitral stenosis and right atrial myxomas mimic tricuspid stenosis):1,2,4,5,6,7,9,12,13,15Congestive heart failureGeneral edema and pulmonary edemaDizziness, syncopeCoughDyspnea with activity and/or lying flatClubbing of the fingersChest painDysrhythmias, palpitationsPulmonary hypertensionLab studies may reveal:1,2,4,5,6,7,9,10,12,13,17,19Elevated ESR (non-specific marker for inflammation)Elevated CRP and gamma globulinsAnemia (possibly from mechanical destruction of erythrocytes by the tumor)Decreased plateletsElevated WBCElevated IL-6Complications of a myxoma include:1,2,4,5,6,7,8,9,10,12,32Congestive heart failureDysrhythmias such as atrial fibrillation or atrial flutter (from volume overload)Embolization,...

Find Another Essay On A brief description of cardiac myxomas and the anesthetic implications for anestesia providers. Some of the formatting of this paper has been lost....the superscripts for references lost their format.

Gen 300 Team Conflict - SgtPane Only place where marks were lost was on APA formatting - received a 4.6 out of 5

3103 words - 12 pages IntroductionDue to their nature, virtual teams are subject to some specific conflicts that require constructive resolution for the virtual team to be effective. Several issues that could potentially create conflicts on a virtual team will be examined, as will some resources for avoiding these conflicts. The first issue involves scheduling and time commitment. Another cause of conflict that can arise, common to all teams but magnified by the way

How the United States Has Lost its Way

1200 words - 5 pages their material wealth. One-quarter of all manual laborers have managed to rise to the lower middle class in their lifetimes. The average American worker experienced a 50 percent increase in his purchase power from 1860 to 1890. And some, like Andrew Carnegie, J. P. Morgan and John Rockefeller, have completely ridden up the new corporate economy to become multimillionaires. Industrialization certainly has improved the economic well-being of the

How the Garcia Girls Lost Their Accent by Julia Alvarez

1343 words - 5 pages Julia Alvarez is a Dominican-American writer and poet, the author of “How the Garcia Girls Lost Their Accent,” a novel that some critics might say is autobiographical opposed by Alvarez’s opinion of it applying to any culture or background. This story narrates the growing-up ventures the Garcia Girls go through as the family abruptly moves from the Dominican Republic to the United States. Julia Alvarez experiences a similar process of a

Australian Migrants and their experiences in the 20th century- "Australia has not always been the lucky country for all its inhabitants in the twentieth century." Discuss

1033 words - 4 pages atmosphere of Australia. It seemed that their lives had turned around and given them another chance to live life to the full. This was the beginning of a certain thing called multiculturalism. Multiculturalism meant that Australia was a country with inhabitants of all different nationalities, all different cultures, all different background, united as one Australia.Therefore, Australia has not always been the lucky country for its migrants in the

Has Champagne Lost Its Fizz?

14005 words - 56 pages attitudes. The sales growth in the 80's was of a frivolous nature, and the current boom is much more securely based on a broad spectrum of consumers".Anthony Mallaby, Champagne Agents Association.Something far more deep routed seems to have taken a grip on the consumers approach.Champagne, on many occasions in the past has lost its fizz. For the most part, this has been due to the type of product is "“ in times of trouble, luxury

Comparison of Daniel Defoe's Roxana. A woman who has "fallen" into sin to Milton's epic "Paradise Lost"

2239 words - 9 pages Banish'd from France by the Cruelty of their Persecutors"(5).Roxana's youth and independency causes her to be born into a fallen world, "Sharp as a Hawk in Matters of Common Knowledge; quick and Smart in Discourse;apt to be Satyrical full of Repartees and a little forward in Conversation" (6). Roxana was born into a world that has departed from its state of grace. For this reason Roxana was aware of her actions and; " with my Eyes open, and with my

Mildred Pierce. An essay on the film nuor Mild Pierce. It has been written in review format.

603 words - 2 pages Mildred PierceMildred Pierce is a gloomy yet captivating murder mystery. The story line leads up to the crime scene presented in the opening scenes. The drama explores the unsound relationship between a helpless mother and an unappreciative daughter. Both of their obnoxious personalities add to the insanity of this melodrama. Multiple flashbacks and weary shadows are responsible for keeping its viewers intrigued throughout the movie.The society

"How the Garcia Girls Lost Their Accents" by Julia Avarez and "Something to Declare" by Julia Avarez.

2523 words - 10 pages chauvinist ways. They just feel very fortunate that they live in a country where women have some semblance of equality. This quote is sickening because the women that are still on the island do not want the equality that the Garcia girls want to fight for on their behalf. However, if one never fights publicly nothing ever changes. Alvarez makes the following comment about women, gender roles, and immigration:Our [Caribbean women] emigrations from our

The United States' has Been Divided in their Beliefs about Black Americans Throughout History

2023 words - 8 pages society of America. There are other legal documents that were created in the south of America that contradicted against the amendments. The Jim Crow laws. These laws separated the blacks and the whites further by creating segregation facilities. This was when they had two separate rooms or facilities, one for black, one for white. However, lots of evidence has been found which indicated that the facilities for white people were cleaner and at a

George Orwells, 1984, My essay talks about the book and how Orwell reveals a society which has lost intellectualism and creativity completely, differing from the modern day world that exists today.

783 words - 3 pages past, individuals are unable to know what they have lost. They are unaware of the freedom they might have had in previous years. The Party rewrites everything to make the people believe that their world has improved over time and that they are lucky to be living in such a wonderful place. Could this be true? Did their world really improve? Today's society; however, allows any individual to receive accurate information about past history though

Reinventing the Corporation: Companies which have lost their moral values and feel they are not responsible to the American public anymore

1114 words - 4 pages Reinventing the CorporationOur corporations today have lost a lot of their moral responsibilities. I think some believe they are no longer accountable. They believe they can do whatever they want, whatever is going to make the largest profit, regardless of the consequences to their workers or to the public. The larger companies especially, are not generally responsible for much that they do. You will see every now and then that a company will be

Similar Essays

The Historical Impact Of The Black Plague. Extensive Research. Unfortunately, I Wrote This Ages Ago And The Bibliography Has Been Lost To The Sands Of Time.

1687 words - 7 pages The Historical Impact of the Black PlagueIn the fourteenth century, plagues swept through Europe, killing a quarter of a million people and recurring approximately five times for nearly a century. It made humankind fully aware of life's brevity and of death's pitilessness. This "Black Death" changed history, placed a twelve-year-old-king on the throne and weakened the Church's grip on the people such that it never regained its full power.Events

How The Garcia Girls Lost Their Accents

2072 words - 8 pages speak the language at home much . This was the case with Chris . He doesn’t quite understand why they decided to speak more English , but he feels that it has taken a toll on his speaking Japanese . This was a problem for Yolanda when she went back to the island in the beginning of the book . Her aunts and family noticed that she had lost her accent . This is significant because of the fact that the title of the book has to do a great

Use Of Language In How The Garcia Girls Lost Their Accents By Julia Alvarez

3230 words - 13 pages certain extent, they rebel against their parents, but this is not a dysfunctional family. For example, in "Daughter of Invention," what could arguably be called the best story in the book; Yoyo has to deliver a commencement speech. In search of inspiration, Yoyo finds Walt Whitman's "Leaves of Grass" and takes a particular liking to "Song of Myself." Inspired by Whitman, Yoyo writes a speech celebrating egotism and self-interest. The theme

An Essay On Milton's "Paradise Lost" Stating That Although The Character Of Satan Follows Some Of Aristotle's Definitions Of A Tragic Hero, He Is Not.

1897 words - 8 pages , line 110) which is the opposite of what G-d intends.In order to attempt to discern if Satan is a tragic hero, his character must fit a certain profile. According to Aristotle's theory, the tragic hero has the potential to be great, but is doomed to fail. The tragic hero, although fallen, still wins a moral victory. The general characteristics follow that the tragic hero is a noble, is responsible for their fate, contains a tragic flaw, and is