Open AccessAnaesthetic management of a patient with Cushing′s syndrome and non-compaction cardiomyopathy for adrenal tumour resection
Author(s) -
A. Manickam,
Aruna Parameswari,
Mahesh Vakamudi
Publication year - 2012
Publication title -
indian journal of anaesthesia/indian journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.645
H-Index - 30
eISSN - 0976-2817
pISSN - 0019-5049
DOI - 10.4103/0019-5049.100838
Subject(s) - medicine , cardiomyopathy , presentation (obstetrics) , adrenalectomy , perioperative , intensive care medicine , cushing syndrome , pediatrics , surgery , heart failure
We describe the anaesthetic management of adrenalectomy in a patient with Cushing's syndrome due to adrenal mass with coexisting non-compaction cardiomyopathy. The problems due to hypersecretion of cortisol in Cushing's syndrome were compounded by the association of a rare form of genetic cardiomyopathy with very few guidelines regarding the perioperative management. The knowledge about the pathophysiological changes, clinical presentation and complications in non-compaction cardiomyopathy is essential for planning the anaesthetic care, and the aim of this presentation is to highlight the issues crucial for management of such challenging patients.