Key result
Goal-directed fluid therapy and vigilant hemodynamic management successfully maintained stable intraoperative hemodynamics in a 77-year-old female with severe hypertrophic obstructive cardiomyopathy undergoing major abdominal surgery.
Why the study?
Managing patients with hypertrophic obstructive cardiomyopathy during surgery presents significant anesthetic challenges requiring meticulous hemodynamic control.
Case Report (n=1)
No
Meticulous anesthetic planning and hemodynamic monitoring can lead to successful outcomes in patients with severe HOCM undergoing non-cardiac surgery.
Managing a patient with hypertrophic obstructive cardiomyopathy (HOCM) presents a significant challenge for any anesthesiologist. A deep understanding of the pathophysiology, alongside meticulous planning and hemodynamic monitoring, is essential. Key considerations include maintaining sinus rhythm, ensuring adequate preload and afterload, and preventing tachycardia. Here, we present a unique case of ileal adenocarcinoma scheduled for resection and anastomosis in a patient with a 40-year history of seizure disorder and a severe left ventricular outflow tract gradient of 110 mm Hg, illustrating how a vigilant and methodical approach can lead to successful outcomes in such complex cases.
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Hannurkar et al. (2024) conducted a case report in Hypertrophic obstructive cardiomyopathy (HOCM) and ileal adenocarcinoma (n=1). Goal-directed fluid therapy and vigilant hemodynamic management was evaluated on Intraoperative hemodynamic stability and surgical outcome. Goal-directed fluid therapy and vigilant hemodynamic management successfully maintained stable intraoperative hemodynamics in a 77-year-old female with severe hypertrophic obstructive cardiomyopathy undergoing major abdominal surgery.
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