PMID: 11907396Mar 22, 2002Paper

Dynamic left ventricular outflow obstruction during lumbar laminectomy as an unexpected cause of intraoperative hypotension

Journal of Neurosurgical Anesthesiology
David A ZvaraJohn A Wilson

Abstract

We present a case of previously undiagnosed hypertrophic obstructive cardiomyopathy (HOCM) with left ventricular outflow obstruction in a woman anesthetized for lumbar hemilaminectomy and diskectomy. The treatment of her sudden unexplained hypotension was initially confounded by a diagnosis of compensated congestive heart failure and diuretic therapy. Swift intervention with transesophageal echocardiography revealed the tru pathology altering her intraoperative treatment and her subsequent chronic treatment for her heart condition.

Citations

Nov 28, 2009·Journal of Cardiothoracic and Vascular Anesthesia·Sheldon Goldstein
Aug 7, 2007·Journal of Cardiothoracic and Vascular Anesthesia·Stephen AniskevichWolf H Stapelfeldt
Sep 21, 2018·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Jonathan IlickiTherese Djärv

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