Dynamic Left Ventricular Outflow Obstruction During Lumbar Laminectomy as an Unexpected Cause of Intraoperative Hypotension
作者:
David Zvara,
Michael Olympio,
Michael Frankland,
John Wilson,
期刊:
Journal of Neurosurgical Anesthesiology
(OVID Available online 2002)
卷期:
Volume 14,
issue 2
页码: 146-148
ISSN:0898-4921
年代: 2002
出版商: OVID
关键词: Anesthesia;Blood pressure;Echocardiography;Hypertrophic obstructive cardiomyopathy
数据来源: OVID
摘要:
We present a case of previously undiagnosed hypertrophic obstructive cardiomyopathy (HOCM) with left ventricular outflow obstruction in a woman anesthetized for lumbar hemilaminectomy and diskectomy. The treatment of her sudden unexplained hypotension was initially confounded by a diagnosis of compensated congestive heart failure and diuretic therapy. Swift intervention with transesophageal echocardiography revealed the tru pathology altering her intraoperative treatment and her subsequent chronic treatment for her heart condition.
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