Journal article
Unexpected refractory intra-operative hypotension during non-cardiac surgery: Diagnosis and management guided by trans-oesophageal echocardiography
Indian journal of anaesthesia, Vol.58(1), pp.51-54
2014
DOI: 10.4103/0019-5049.126796
PMCID: PMC3968653
PMID: 24700900
Abstract
We present a case of severe refractory hypotension in a patient undergoing de-bulking liver resection for massive polycystic liver disease. Emergent trans-oesophageal echocardiography (TOE) revealed dynamic left ventricular outflow tract (LVOT) obstruction with systolic anterior motion (SAM) of the anterior mitral leaflet (AML). Notably, he had a structurally normal heart on pre-operative trans-thoracic echocardiography (TTE). Diagnosis of SAM by TOE, possible mechanisms and specific management of refractory hypotension in this context are discussed.
Details
- Title: Subtitle
- Unexpected refractory intra-operative hypotension during non-cardiac surgery: Diagnosis and management guided by trans-oesophageal echocardiography
- Creators
- Sundara Reddy - Department of Anesthesia, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City 52242, Iowa, USAKenichi Ueda - Department of Anesthesia, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City 52242, Iowa, USA
- Resource Type
- Journal article
- Publication Details
- Indian journal of anaesthesia, Vol.58(1), pp.51-54
- DOI
- 10.4103/0019-5049.126796
- PMID
- 24700900
- PMCID
- PMC3968653
- NLM abbreviation
- Indian J Anaesth
- ISSN
- 0019-5049
- eISSN
- 0976-2817
- Publisher
- Medknow Publications & Media Pvt Ltd
- Language
- English
- Date published
- 2014
- Academic Unit
- Anesthesia
- Record Identifier
- 9984083281402771
Metrics
17 Record Views