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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

10/01/2016

Pubmed ID

27687358

DOI

10.1016/j.jclinane.2016.03.028

Scopus ID

2-s2.0-84967329190 (requires institutional sign-in at Scopus site)   1 Citation

Abstract

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 MA

Author

Michael Fierro MD Associate Professor in the Anesthesiology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Aged
Cardiomyopathy, Hypertrophic
Echocardiography, Transesophageal
Humans
Insufflation
Laparoscopy
Male
Monitoring, Intraoperative
Perioperative Care
Prostatectomy
Prostatic Neoplasms
Robotic Surgical Procedures
Ventricular Outflow Obstruction