We experienced a case of a recurrent left atrial myxoma in a pregnant
woman with twin fetuses. Normal healthy twins weighing 1430 and 1190 g
m were delivered by cesarean section performed under epidural anesthes
ia at 32 weeks gestation. Neither cardiac failure nor embolisms were o
bserved during pregnancy or delivery. The left atrial myxoma was remov
ed surgically one week after delivery. The infants and mother remain i
n good health. According to previous reports and our present observati
ons, the decision for cardiac surgery during pregnancy should be based
on the maternal and fetal status.