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Anesthetic Precision in Severe Hypertrophic Cardiomyopathy: Navigating Perioperative Challenges

Year: 2024

Type: article

Abstract: Managing a patient with hypertrophic obstructive cardiomyopathy (HOCM) presents a significant challenge for any anesthesiologist. A deep understanding of the pathophysiology, alongside meticulous planning and hemodynamic monitoring, is essential. Key considerations include maintaining sinus rhythm, ensuring adequate preload and afterload, and preventing tachycardia. Here, we present a unique case of ileal adenocarcinoma scheduled for resection and anastomosis in a patient with a 40-year history of seizure disorder and a severe left ventricular outflow tract gradient of 110 mm Hg, illustrating how a vigilant and methodical approach can lead to successful outcomes in such complex cases.

Source: Cureus

DOI: 10.7759/cureus.72947

Authors: Poonam Hannurkar, Urmila Phad, Chhaya Suryawanshi

Institutions: Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D.Y. Patil Vidyapeeth, Pune

Language: English

Topic: Cardiac, Anesthesia and Surgical Outcomes

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4404017958