Hypertrophic cardiomyopathy part II - Anesthetic and surgical considerations.
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Date
2014-07
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Abstract
Hypertrophic cardiomyopathy (HCM) poses many unique challenges regarding the conduct of anesthesia and
surgery. Adequate preload, control of sympathetic stimulation, heart rate, and increased afterload are required
to decrease the left ventricular outfl ow tract obstruction. Comprehensive intraoperative transesophageal
echocardiography (TEE) examination confi rms the diagnosis, elucidates the pathophysiology, and identifi es
the various anomalies of mitral valve apparatus and allows assessment of the adequacy of surgery. In this
review, we focus on the preoperative assessment, conduct of anesthesia and comprehensive TEE examination
of patients presenting for surgery with HCM. The various surgical options are extended myectomy and
resection, plication and release.
Description
Keywords
Anesthesia, Hypertrophic cardiomyopathy, Myectomy, Transesophageal echocardiography
Citation
Varma Praveen Kerala, Raman Suneel Puthuvassery, Neema Praveen Kumar. Hypertrophic cardiomyopathy part II - Anesthetic and surgical considerations. Annals of Cardiac Anaesthesia. 2014 Jul; 17(3): 211-221.