The role of intraoperative transesophageal echocardiographic monitoring in a patient with hypertrophic cardiomyopathy undergoing laparoscopic surgery

Stephen H. Gregory, Michael A. Fierro

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)124-127
Number of pages4
JournalJournal of clinical anesthesia
Volume34
DOIs
StatePublished - Nov 1 2016
Externally publishedYes

Keywords

  • Anesthesia
  • Cardiomyopathy
  • Echocardiography
  • Hypertrophic
  • Laparoscopy
  • Transesophageal

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