Severe unprovoked hypertrophic obstructive cardiomyopathy: anaesthetic concerns in patient undergoing parathyroidectomy.
Asha TyagiChanchal NigamRicha PangteyVinayak AgrawalPublished in: BMJ case reports (2023)
This case highlights the role of an anaesthetist as a perioperative physician involved in diagnosing and optimising asymptomatic but severe hypertrophic obstructive cardiomyopathy. The modifications in anaesthetic technique for safe conduct of general anaesthesia during parathyroidectomy in a patient are also presented. These include those due to an extremely high left ventricular outflow tract obstruction with echocardiographic Doppler-derived maximum pressure gradient of 105 mm Hg at rest.
Keyphrases
- left ventricular
- heart failure
- case report
- early onset
- venous thromboembolism
- primary care
- emergency department
- mitral valve
- patients undergoing
- pulmonary hypertension
- cardiac surgery
- hypertrophic cardiomyopathy
- cardiac resynchronization therapy
- aortic stenosis
- atrial fibrillation
- acute coronary syndrome
- single molecule