Anaesthetic Management of a Patient with Hypertrophic Obstructive Cardiomyopathy Undergoing Septal Myectomy

Authors

  •   Anjum Saiyed Department of Anaesthesia, Swai Man Singh Medical College, Jaipur – 302004, Rajasthan
  •   Jahnu Bhoj Nagal Department of Anaesthesia, Swai Man Singh Medical College, Jaipur – 302004, Rajasthan
  •   Reema Meena Department of Anaesthesia, Swai Man Singh Medical College, Jaipur – 302004, Rajasthan
  •   Indu Verma Department of Anaesthesia, Swai Man Singh Medical College, Jaipur – 302004, Rajasthan

DOI:

https://doi.org/10.4103/kaj/2019/v17i1-2/143142

Keywords:

Hypertrophic Obstructive Cardiomyopathy, Left Ventricle Outflow Tract Obstruction, Septal Myectomy.

Abstract

Hypertrophic Obstructive Cardio-Myopathy (HOCM) is a relatively common disorder that anesthesiologists encounter among patients in the perioperative period. It is autosomal dominant disorder having familial nature. Aim of this case report is to highlight the problems related to anaesthetic management of such patients. Patient admitted was a 50 years old male (weight 72 kilogram) with complaints of chest pain on exertion. Two dimensional Ecocardiography (2D Echo) showed Systolic Anterior Motion (SAM) of mitral valve, dynamic left ventricle outflow tract obstruction, severe constrictive left ventricular hypertrophy and interventricular septal thickness was 20mm. Optimal anaesthetic management in patients with HOCM involves monitoring adequate preload, optimal systemic vascular resistance and minimal outflow obstruction during intra operative period. Vigilant Intensive Care Unit (ICU) management and post operative care is mandatory for an uneventful recovery.

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Author Biographies

Anjum Saiyed, Department of Anaesthesia, Swai Man Singh Medical College, Jaipur – 302004, Rajasthan

Senior Professor 

Department of Anaesthesia

SMS medical college jaipur

Jahnu Bhoj Nagal, Department of Anaesthesia, Swai Man Singh Medical College, Jaipur – 302004, Rajasthan

resident doctor 

Department of Anaesthesia 

SMS Medical College

Reema Meena, Department of Anaesthesia, Swai Man Singh Medical College, Jaipur – 302004, Rajasthan

Senior Professor 

Department of Anaesthesia

SMS medical college jaipur

Indu Verma, Department of Anaesthesia, Swai Man Singh Medical College, Jaipur – 302004, Rajasthan

Senior Professor 

Department of Anaesthesia

SMS medical college jaipur

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Published

2021-04-28

How to Cite

Saiyed, A., Nagal, J. B., Meena, R., & Verma, I. (2021). Anaesthetic Management of a Patient with Hypertrophic Obstructive Cardiomyopathy Undergoing Septal Myectomy. Karnataka Anaesthesia Journal, 17(1-2), 33–36. https://doi.org/10.4103/kaj/2019/v17i1-2/143142

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