Open AccessHypertrophic cardiomyopathy surgery: Perioperative anesthetic management with two different and combined techniques
Author(s) -
Jacqueline Bellas,
Cristina Sánchez,
A. González,
Alberto Forteza,
V. Betancourt Lopez,
Javier García Fernández
Publication year - 2021
Publication title -
saudi journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.416
H-Index - 24
eISSN - 1658-354X
pISSN - 0975-3125
DOI - 10.4103/sja.sja_952_20
Subject(s) - medicine , hypertrophic cardiomyopathy , perioperative , septal myectomy , ventricular outflow tract obstruction , cardiology , ventricular outflow tract , sudden cardiac death , population , cardiomyopathy , surgery , heart failure , obstructive cardiomyopathy , environmental health
Hypertrophic cardiomyopathy (HOCM) is the most common genetic heart disorder and the most common cause of sudden cardiac death among young population and a major cause of disability for patients of any age. An extended transaortic septal myectomy is the definitive treatment. It is very important to have a good knowledge of the characteristic pathophysiology of the disease in order to optimize intraoperative treatment of these patients. We present a case of a 68-year old woman who underwent hypertrophic elective cardiomyopathy surgery. Anesthetic management is crucial to guarantee maximum safety, since HOCM has the capacity to produce hemodynamic events of such severity that put patient's life at risk. The use and combination of intraoperative transesophageal echocardiography (TEE) and direct measurement of the left ventricular outflow tract gradient provides vital information to ensure successful surgical outcome in patients with HOCM.