The role of intraoperative transesophageal echocardiographic monitoring in a patient with hypertrophic cardiomyopathy undergoing laparoscopic surgery. J Clin Anesth 2016 Nov;34:124-7
Date
10/01/2016Pubmed ID
27687358DOI
10.1016/j.jclinane.2016.03.028Scopus ID
2-s2.0-84967329190 (requires institutional sign-in at Scopus site) 1 CitationAbstract
Hypertrophic cardiomyopathy (HCM) presents a significant perioperative challenge. Anesthetic drugs, patient positioning, and surgical technique can provoke worsening left ventricular outflow tract obstruction and hemodynamic deterioration. In this case report, we present the perioperative management of a 70-year-old male with a history of HCM who underwent a robotic laparoscopic prostatectomy. Discussion focuses on the utilization of echocardiographic guidance in the care of patients with HCM undergoing noncardiac surgery, as well as the pathophysiology of laparoscopic insufflation and its effects on left ventricular outflow tract obstruction in HCM.
Author List
Gregory SH, Fierro MAAuthor
Michael Fierro MD Associate Professor in the Anesthesiology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AgedCardiomyopathy, Hypertrophic
Echocardiography, Transesophageal
Humans
Insufflation
Laparoscopy
Male
Monitoring, Intraoperative
Perioperative Care
Prostatectomy
Prostatic Neoplasms
Robotic Surgical Procedures
Ventricular Outflow Obstruction