Key result
Anesthetic management succeeds during percutaneous nephrolithotomy for a patient with HCM and atrial flutter.
Why the study?
Anesthesia and surgical stress can exacerbate LVOT obstruction in patients with hypertrophic cardiomyopathy, complicating the perioperative course and requiring careful management.
Case Report (n=1)
Highlights the successful anesthetic management of a patient with hypertrophic cardiomyopathy and atrial flutter undergoing non-cardiac surgery.
May guide anesthetic planning in hypertrophic cardiomyopathy with arrhythmia; hypothesis-generating and should not change practice.
Hypertrophic cardiomyopathy (HCM) is a most common genetic cardiovascular disorder, characterized by asymmetric hypertrophy of the interventricular septum that leads to intermittent obstruction of the left ventricular outflow tract (LVOT). Clinical presentation ranges from absence of symptoms to sudden death in the young and disability at any age. Although patients are asymptomatic in basal conditions, but anesthesia and surgical stress can lead to exacerbation of the LVOT obstruction and may complicate the perioperative course. Therefore, complete understanding of the pathophysiology and anesthetic implications is needed for the successful perioperative outcome. We describe the successful management of a case of HCM with atrial flutter posted for percutaneous nephrolithotomy.
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Nama et al. (2015) conducted a case report in Hypertrophic cardiomyopathy with atrial flutter (n=1). Anesthetic management was evaluated on Perioperative outcome. Successful anesthetic management was achieved in a patient with hypertrophic cardiomyopathy and atrial flutter undergoing percutaneous nephrolithotomy.
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