[Asymmetric hypertrophic cardiomyopathy in a septic patient--intraoperative preliminary diagnosis with transesophageal echocardiography].
Cardiac dysrhythmias in septic patients often reflect hypovolaemia, hypokalaemia or endocarditis as cardiac manifestation of the infection, but may be indicative for underlying cardiac pathology previously undiagnosed. We report on the case of a patient with severe peritonitis, on whom transoesophageal echocardiography (TEE) had been performed intraoperatively due to progressive circulatory instability. TEE revealed first diagnosis of asymmetric hypertrophic cardiomyopathy, which complicated the features of septic syndrome. Further perioperative treatment to support the circulation was successfully adjusted on the grounds of this diagnosis.
Greim
C A
CA
Abteilung für Anästhesiologie, Universitäts-Krankenhaus Eppendorf.
Roewer
N
N
Belke
C
C
Schulte am Esch
J
J
D018784:Abdominal Abscess / Q000000981:diagnostic imaging / Q000601:surgery*; D000328:Adult; D002312:Cardiomyopathy, Hypertrophic / Q000000981:diagnostic imaging*; D004381:Duodenal Ulcer / Q000601:surgery; D017548:Echocardiography, Transesophageal; D006801:Humans; D007431:Intraoperative Complications / Q000000981:diagnostic imaging*; D008297:Male; D010439:Peptic Ulcer Perforation / Q000601:surgery; D010538:Peritonitis / Q000000981:diagnostic imaging / Q000601:surgery*; D012086:Reoperation; D012772:Shock, Septic / Q000000981:diagnostic imaging*; D013530:Surgical Wound Infection / Q000000981:diagnostic imaging / Q000601:surgery*