Perioperative anesthetic management of patients with hypertrophic cardiomyopathy for noncardiac surgery: A case series.
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Date
2010-09
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Abstract
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.
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Keywords
Anesthesia, hypertrophic cardiomyopathy, left ventricular outflow tract obstruction
Citation
Sahoo Rajendra K, Dash Sananta K, Raut Pradeep S, Badole Usha R, Upasani Chitra B. Perioperative anesthetic management of patients with hypertrophic cardiomyopathy for noncardiac surgery: A case series. Annals of Cardiac Anaesthesia. 2010 Sept; 13(3): 253-256.