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