Intraoperative transesophageal echocardiography in septal hypertrophic cardiomyopathy.
نویسندگان
چکیده
We report the case of a patient with septal hypertrophic cardiomyopathy undergoing surgical correction in which the use of intraoperative transesophageal echocardiography permitted the planning of the surgical approach and an immediate knowledge of the surgical outcome.
منابع مشابه
Hypertrophic cardiomyopathy part II--anesthetic and surgical considerations.
Hypertrophic cardiomyopathy (HCM) poses many unique challenges regarding the conduct of anesthesia and surgery. Adequate preload, control of sympathetic stimulation, heart rate, and increased afterload are required to decrease the left ventricular outflow tract obstruction. Comprehensive intraoperative transesophageal echocardiography (TEE) examination confirms the diagnosis, elucidates the pat...
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Surgical relief of left ventricular outflow tract obstruction (LVOTO) in hypertrophic cardiomyopathy (HCM) requires more than septal myectomy. The procedure is currently the gold standard for all symptomatic HCM patients except those with comorbidities. The operation requires an individualized approach to restore the sophisticated functions of the left ventricular outflow tract (LVOT) without i...
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Abbreviations: AR aortic regurgitation, AS aortic stenosis, AVA aortic valve area, CSA cross sectional area, CWD continuous wave Doppler, D diameter, HOCM hypertrophic obstructive cardiomyopathy, LV left ventricle, LVOT left ventricular outflow tract, MR mitral regurgitation, MS mitral stenosis, MVA mitral valve area, DP pressure gradient, RV right ventricle, RVOT right ventricular outflow trac...
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Introduction Hypertrophic cardiomyopathy (HCM) is an autosomal dominant disease characterized by ventricular hypertrophy whose prevalence in the general population is 1:5001. Obstruction of the left ventricular outflow tract occurs in 25% of cases and is a marker of poor prognosis. It occurs due to a combination of mechanical and hemodynamic factors, such as interventricular septal hypertrophy,...
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Corresponding author: Fernanda Santos Silva Azinhaga das Galhardas, 181, 3oA 1600-470 Lisboa, Portugal e.mail: [email protected] A 73 year old woman with a previous diagnosis of hypertrophic obstructive cardiomyopathy (HOCM) and severe mitral regurgitation was scheduled for transaortic septal myectomy (Morrow procedure) and mitral reconstruction/replacement. After anesthesia induction,...
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ورودعنوان ژورنال:
- Arquivos brasileiros de cardiologia
دوره 93 1 شماره
صفحات -
تاریخ انتشار 2009