Patient with Hypertrophic Cardiomyopathy and Retrosternal Goiter Posted for Noncardiac Surgery: Anesthesia Challenges
Anju Paul, Surabhi Salgaonkar, Madhuri Patil
Keywords :
Anesthesia management, Case report, Hypertrophic cardiomyopathy, Retrosternal goiter
Citation Information :
Paul A, Salgaonkar S, Patil M. Patient with Hypertrophic Cardiomyopathy and Retrosternal Goiter Posted for Noncardiac Surgery: Anesthesia Challenges. Res Inno Anesth 2024; 9 (2):66-68.
Patients with hypertrophic cardiomyopathy (HCM) pose a considerable anesthetic challenge as the outflow tract obstruction can be worsened by various conditions, which may be worsened by the concurrent occurrence of a difficult airway such as retrosternal goiter. Additionally, these patients pose a higher incidence of ischemic heart disease, which may further increase the risk of anesthesia and surgery. Successful anesthetic management in patients with HCM and goiter involves a multidisciplinary approach with the goal of maintaining stable hemodynamics with minimal LVOT obstruction, securing a definitive airway, and preventing postoperative complications. Here, we successfully managed a patient with HCM and retrosternal goiter posted for noncardiac surgery.
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