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Ann Card Anaesth ; 2010 Sept; 13(3): 253-256
Article in English | IMSEAR | ID: sea-139541

ABSTRACT

Hypertrophic cardiomyopathy with or without left ventricular outflow tract obstruction is characterized by asymmetric hypertrophy of the interventricular septum causing intermittent obstruction of the left ventricular outflow tract. Because Hypertrophic cardiomyopathy is the most common genetic cardiovascular disease, it may present to the anesthesiologist more often than anticipated, sometimes in undiagnosed form during routine preoperative visit. Surgery and anesthesia often complicate the perioperative outcome if adequate monitoring and proper care are not taken. Therefore, a complete understanding of the pathophysiology, hemodynamic changes and anesthetic implications is needed for successful perioperative outcome. We hereby describe the perioperative management of three patients with Hypertrophic cardiomyopathy for different surgical procedures.


Subject(s)
Adult , Anesthesia, General , Cardiomyopathy, Hypertrophic/complications , Delivery, Obstetric , Female , Head and Neck Neoplasms/secondary , Head and Neck Neoplasms/surgery , Humans , Kidney Calculi/therapy , Lithotripsy , Male , Middle Aged , Monitoring, Intraoperative , Nephrostomy, Percutaneous , Neuromuscular Blockade , Perioperative Care/methods , Pregnancy , Surgical Procedures, Operative , Tonsillar Neoplasms/pathology , Tonsillar Neoplasms/surgery
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