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Anesthesia concerns in patients with hypertrophic obstructive cardiomyopathy posted for orthopedic surgery


 Department of Anaesthesia, BJGMC and SGH, Pune, Maharashtra, India

Correspondence Address:
Sushama R Tandale,
Anesthesia Department, First Floor, Hospital Building, BJGMC and SGH, Pune, Maharashtra
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mjdrdypu.mjdrdypu_334_19

Hypertrophic cardiomyopathy (HCM) is the 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 the absence of symptoms to sudden death at any age. Anesthesia and surgical stress can lead to exacerbation of the LVOT obstruction and may complicate the perioperative course. We hereby describe the perioperative management of two patients with HCM posted for orthopedic surgery.


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    -  Kankal PA
    -  Tandale SR
    -  Naik SV
    -  Khade SM
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