Anesthetic Management in the Prone Position in a Patient with Hypertrophic Obstructive Cardiomyopathy with a VDD Pacemaker.

• SEKINO Motohiro

  Department of Anesthesiology, Hamamatsu Medical Center

• HASHIGUCHI Hideo

  Department of Anesthesiology, Nagasaki University School of Medicine

• KAWAKUBO Atsushi

  Department of Anesthesiology, Hamamatsu Medical Center

• HIRANO Kazuhiro

  Department of Anesthesiology, Hamamatsu Medical Center

• NAGATANI Atsuko

  Department of Anesthesiology, Nagasaki Medical Center

Bibliographic Information

Other Title

• ペースメーカ治療中の閉塞性肥大型心筋症患者に対する腹臥位手術の麻酔経験

Abstract

A 61-year-old female with hypertrophic obstructive cardiomyopathy (HOCM) with a single-lead VDD pacemaker, underwent removal of a spinal tumor in the prone position. Transesophageal echocardiography was possible in the prone position, and was useful in assessing the left ventricular volume and left ventricular out flow tract. When mono-polar electrocautery was used, tachycardia and hypotension occurred, probably caused by electro-magnetic interference. In patients with HOCM with a single-lead VDD pacemaker, mono-polar electrocautery should be avoided.

Journal

• THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA

  THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA 22 (7), 303-306, 2002

  THE JAPAN SOCIETY FOR CLINICAL ANESTHESIA

Keywords

• Hypertrophic obstructive cardiomyopathy
• prone position
• single-lead VDD pacemaker

Details

• CRID: 1390282679737342720
• NII Article ID: 130003428333
• NII Article ID: 10010155308
• NII Book ID: AN00330159
• DOI: 10.2199/jjsca.22.303
• ISSN: 13499149
• ISSN: 02854945
• Web Site: https://search.jamas.or.jp/link/ui/2003064148
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed