title: [Perioperative management of a patient with myotonic dystrophy developing the cardiac symptoms initially prior to the neuromuscular symptoms].
abstract: The authors anesthetized a 48-year-old woman with endometrial cancer and a large ovarian cyst. She developed cardiac failure initially followed by the sick sinus syndrome and A-V block from hypertrophic cardiomyopathy, prior to neuromuscular symptoms. Epidural anesthesia assisted by general anesthesia was carried out safely without intravenous administration of any muscle relaxants. From this experience, it is considered that epidural anesthesia assisted with some other proper methods is suitable for surgery of lower abdomen.
authors.affiliation: Department of Anesthesiology, Kobe West Municipal Hospital.
authors.forename: M
authors.initials: M
authors.lastname: Wake
authors.forename: M
authors.initials: M
authors.lastname: Matsushita
authors.forename: H
authors.initials: H
authors.lastname: Aono
authors.forename: M
authors.initials: M
authors.lastname: Matsumoto
authors.forename: Y
authors.initials: Y
authors.lastname: Kohri
mesh_terms: D000767:Anesthesia, Epidural; D000768:Anesthesia, General; D002312:Cardiomyopathy, Hypertrophic / Q000209:etiology*; D016889:Endometrial Neoplasms / Q000601:surgery; D005260:Female; D006327:Heart Block / Q000209:etiology*; D006333:Heart Failure / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D009223:Myotonic Dystrophy / Q000150:complications*; D010048:Ovarian Cysts / Q000601:surgery; D012804:Sick Sinus Syndrome / Q000209:etiology*