Hypertrophic cardiomyopathy surgery: Perioperative anesthetic management with two different and combined techniques.
Cardiomyopathy hypertrophic
cardiac surgery
hemodynamics
transesophageal echocardiography
Journal
Saudi journal of anaesthesia
ISSN: 1658-354X
Titre abrégé: Saudi J Anaesth
Pays: India
ID NLM: 101500601
Informations de publication
Date de publication:
Historique:
received:
17
09
2020
revised:
05
10
2020
accepted:
07
10
2020
entrez:
30
6
2021
pubmed:
1
7
2021
medline:
1
7
2021
Statut:
ppublish
Résumé
Hypertrophic cardiomyopathy (HOCM) is the most common genetic heart disorder and the most common cause of sudden cardiac death among young population and a major cause of disability for patients of any age. An extended transaortic septal myectomy is the definitive treatment. It is very important to have a good knowledge of the characteristic pathophysiology of the disease in order to optimize intraoperative treatment of these patients. We present a case of a 68-year old woman who underwent hypertrophic elective cardiomyopathy surgery. Anesthetic management is crucial to guarantee maximum safety, since HOCM has the capacity to produce hemodynamic events of such severity that put patient's life at risk. The use and combination of intraoperative transesophageal echocardiography (TEE) and direct measurement of the left ventricular outflow tract gradient provides vital information to ensure successful surgical outcome in patients with HOCM.
Identifiants
pubmed: 34188639
doi: 10.4103/sja.sja_952_20
pii: SJA-15-189
pmc: PMC8191267
doi:
Types de publication
Case Reports
Langues
eng
Pagination
189-192Informations de copyright
Copyright: © 2021 Saudi Journal of Anaesthesia.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
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