CASE REPORT
Year : 2021  |  Volume : 15  |  Issue : 2  |  Page : 189-192

Hypertrophic cardiomyopathy surgery: Perioperative anesthetic management with two different and combined techniques


1 Department of Anesthesia and Critical Care, Puerta de Hierro Majadahonda University Hospital, Madrid, Spain
2 Department of Cardiac Surgery, Puerta de Hierro Majadahonda University Hospital, Madrid, Spain
3 Department of Anesthesia and Critical Care, 12 de Octubre University Hospital, Madrid, Spain

Correspondence Address:
Jose J Arcas Bellas
Department of Anesthesia and Critical Care, Puerta de Hierro Majadahonda University Hospital, Manuel de Falla Street 1, 28222, Madrid
Spain
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sja.sja_952_20

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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.


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