ANAESTHETIC MANAGEMENT OF A PATIENT WITH DILATED CARDIOMYOPATHY AND SEVERE LEFT VENTRICULAR DYSFUNCTION UNDERGOING NON-CARDIAC SURGERY

Nupur Khare; Col. Mustafa Kapadia; Mahendra Vangani

Volume : VIII, Issue : IV, April - 2019

ANAESTHETIC MANAGEMENT OF A PATIENT WITH DILATED CARDIOMYOPATHY AND SEVERE LEFT VENTRICULAR DYSFUNCTION UNDERGOING NON-CARDIAC SURGERY

Nupur Khare, Col. Mustafa Kapadia, Mahendra Vangani

Abstract :

Dilated cardiomyopathy (DCM) is characterized by progressive ventricular dilation and results in impaired ventricular function. The anesthetic management of patients with dilated cardiomyopathy is a daunting task for anesthesiologist, due to pre–existing or progressive congestive cardiac failure, poor left systolic function, ventricular enlargement, risk of malignant arrhythmias and sudden cardiac death. We report the successful management of a 54 year old male patient with idiopathic dilated cardiomyopathy and low ejection fraction (LVEF < 20%) who underwent surgery for lumbar canal stenosis of L2–S1 under general anesthesia.