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Anesthetic Management of a Patient With Suspected Insulinoma Undergoing Cardiopulmonary Bypass for Left Atrial Myxoma: A Case Report

Year: 2025

Type: article

Abstract: Perioperative hypoglycemia is associated with neurological complications, cognitive dysfunction, and increased mortality, highlighting the need for appropriate glycemic control. This case report describes a patient with suspected insulinoma and recurrent hypoglycemia, in whom a left atrial tumor was incidentally discovered and resected under cardiopulmonary bypass. Both hypoglycemia due to insulinoma and hyperglycemia related to surgery and cardiopulmonary bypass were considered. Stable glycemic control was achieved through blood glucose monitoring every 15 minutes and continuous infusion of 10% glucose. Although the outcome was favorable, individualized blood glucose management is essential during cardiac surgery for patients with suspected insulinoma.

Source: A&A Practice

DOI: 10.1213/xaa.0000000000002027

Authors: Mikiko Tomino, Mitsuhiro Kimura, Shinya Motohashi

Institution: Tokyo Medical University Hachioji Medical Center

Language: English

Topic: Hyperglycemia and glycemic control in critically ill and hospitalized patients

Subfield: Endocrinology, Diabetes and Metabolism

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W4412958433

FWCI:

Cites: 15

Cited by:

Related to: 10