Unexpected refractory intra-operative hypotension during non-cardiac surgery: Diagnosis and management guided by trans-oesophageal echocardiography

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...

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Autores principales: Reddy, Sundara, Ueda, Kenichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3968653/
https://www.ncbi.nlm.nih.gov/pubmed/24700900
http://dx.doi.org/10.4103/0019-5049.126796
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author Reddy, Sundara
Ueda, Kenichi
author_facet Reddy, Sundara
Ueda, Kenichi
author_sort Reddy, Sundara
collection PubMed
description 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.
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spelling pubmed-39686532014-04-03 Unexpected refractory intra-operative hypotension during non-cardiac surgery: Diagnosis and management guided by trans-oesophageal echocardiography Reddy, Sundara Ueda, Kenichi Indian J Anaesth Case Report 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. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC3968653/ /pubmed/24700900 http://dx.doi.org/10.4103/0019-5049.126796 Text en Copyright: © Indian Journal of Anaesthesia http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Reddy, Sundara
Ueda, Kenichi
Unexpected refractory intra-operative hypotension during non-cardiac surgery: Diagnosis and management guided by trans-oesophageal echocardiography
title Unexpected refractory intra-operative hypotension during non-cardiac surgery: Diagnosis and management guided by trans-oesophageal echocardiography
title_full Unexpected refractory intra-operative hypotension during non-cardiac surgery: Diagnosis and management guided by trans-oesophageal echocardiography
title_fullStr Unexpected refractory intra-operative hypotension during non-cardiac surgery: Diagnosis and management guided by trans-oesophageal echocardiography
title_full_unstemmed Unexpected refractory intra-operative hypotension during non-cardiac surgery: Diagnosis and management guided by trans-oesophageal echocardiography
title_short Unexpected refractory intra-operative hypotension during non-cardiac surgery: Diagnosis and management guided by trans-oesophageal echocardiography
title_sort unexpected refractory intra-operative hypotension during non-cardiac surgery: diagnosis and management guided by trans-oesophageal echocardiography
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3968653/
https://www.ncbi.nlm.nih.gov/pubmed/24700900
http://dx.doi.org/10.4103/0019-5049.126796
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AT uedakenichi unexpectedrefractoryintraoperativehypotensionduringnoncardiacsurgerydiagnosisandmanagementguidedbytransoesophagealechocardiography

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