Perioperative anesthetic management of patients with hypertrophic cardiomyopathy for noncardiac surgery: a case series.
Hypertrophic cardiomyopathy with or without left ventricular outflow tract obstruction is characterized by asymmetric hypertrophy of the interventricular septum causing intermittent obstruction of the left ventricular outflow tract. Because Hypertrophic cardiomyopathy is the most common genetic cardiovascular disease, it may present to the anesthesiologist more often than anticipated, sometimes in undiagnosed form during routine preoperative visit. Surgery and anesthesia often complicate the perioperative outcome if adequate monitoring and proper care are not taken. Therefore, a complete understanding of the pathophysiology, hemodynamic changes and anesthetic implications is needed for successful perioperative outcome. We hereby describe the perioperative management of three patients with Hypertrophic cardiomyopathy for different surgical procedures.
Sahoo
Rajendra K
RK
Department of Anesthesia and Critical Care, Grant Medical College and Sir J.J. Group of Hospital, Byculla, Mumbai, Maharashtra, India.
Dash
Sananta K
SK
Raut
Pradeep S
PS
Badole
Usha R
UR
Upasani
Chitra B
CB
D000328:Adult; D000768:Anesthesia, General; D002312:Cardiomyopathy, Hypertrophic / Q000150:complications*; D036861:Delivery, Obstetric; D005260:Female; D006258:Head and Neck Neoplasms / Q000556:secondary / Q000601:surgery; D006801:Humans; D007669:Kidney Calculi / Q000628:therapy; D008096:Lithotripsy; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D009403:Nephrostomy, Percutaneous; D019148:Neuromuscular Blockade; D019990:Perioperative Care / Q000379:methods*; D011247:Pregnancy; D013514:Surgical Procedures, Operative; D014067:Tonsillar Neoplasms / Q000473:pathology / Q000601:surgery