Anaesthetic Management of a Hypertrophic Obstructive Cardiomyopathy(HOCM)patient for Total Abdominal Hysterectomy with Bilateral Salpingo Oophorectomy

Pournami B,Suganthi K.S .

Abstract


Hypertrophic Obstructive cardiomyopathy(HOCM) is the most common genetic cardiovascular disease and is transmitted as an autosomal dominant trait with variable penetrance.              It is characterized by Left ventricular hypertrophy causing dynamic left ventricular outflow tract obstruction. The principal symptoms are angina pectoris, fatigue or syncope,            tachydysrhythmias and heart failure. Here we report           successful conduct of anaesthesia in a patient with HOCM who underwent Abdominal hysterectomy under epidural     anaesthesia and developed hypotension and atrial fibrillation intra operatively and was managed successfully.Keywords: Hypertrophic Obstructive Cardiomyopathy(HOCM), epidural anesthesia, atrial fibrillation, hypotension, case     management.


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References


Sigdel S. and Basnet M (2014) Anesthetic management of a patient with Hypertrophic Obstructive cardiomyopathy in a place with limited resources. J Anesth Clin Res 5:427

Bhure AR, Marodkar AS. Successful anaesthetic management of a case of hypertrophic obstructive cardiomyopathy posted for elective caesarean section using epidural anesthesia with 0.75% ropivacaine.

Stoelting’s Anesthesia Co-Existing Disease

Agarwal NK, Kapoor PM, Kiran U (2007) Anesthetic management of a patient with hypertrophic obstructive cardiomyopathy undergoing Morrow’s septal myectomy.Indian J.Anaesth;51:134-136


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