Anesthetic procedure for transapical beating-heart septal myectomy in patients with hypertrophic obstructive cardiomyopathy: Report of three cases.

Journal of anesthesia and translational medicine Pub Date : 2024-11-14 eCollection Date: 2024-12-01 DOI:10.1016/j.jatmed.2024.10.002

Qiaoqiao Xu, Rui Li, Yani Liu, Yue Chen, Ailin Luo, Xiang Wei, Wenlong Yao

{"title":"Anesthetic procedure for transapical beating-heart septal myectomy in patients with hypertrophic obstructive cardiomyopathy: Report of three cases.","authors":"Qiaoqiao Xu, Rui Li, Yani Liu, Yue Chen, Ailin Luo, Xiang Wei, Wenlong Yao","doi":"10.1016/j.jatmed.2024.10.002","DOIUrl":null,"url":null,"abstract":"Background: Septal myectomy is the gold standard for treating severe hypertrophic obstructive cardiomyopathy (HOCM). Recently, the cardiothoracic surgery team from our hospital has developed a novel surgical approach known as transapical beating-heart septal myectomy (TA-BSM) for HOCM patients.Case presentation: Anesthesia management is crucial in this groundbreaking procedure. We present three representative cases of patients with HOCM: a typical case, a geriatric case, and a case with extreme hypertrophy of the interventricular septum. Additionally, we summarize the perioperative anesthesia management specific to TA-BSM.Conclusions: Guided by transesophageal echocardiography, TA-BSM significantly reduces left ventricular outflow tract obstruction without cardiopulmonary bypass. Precise perioperative anesthesia management, coupled with seamless collaboration among anesthesiologists, surgeons, and sonographers, has been pivotal to the successful implementation of this procedure in HOCM patients.","PeriodicalId":519929,"journal":{"name":"Journal of anesthesia and translational medicine","volume":"3 4","pages":"138-142"},"PeriodicalIF":0.0000,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13001747/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of anesthesia and translational medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.jatmed.2024.10.002","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/12/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Septal myectomy is the gold standard for treating severe hypertrophic obstructive cardiomyopathy (HOCM). Recently, the cardiothoracic surgery team from our hospital has developed a novel surgical approach known as transapical beating-heart septal myectomy (TA-BSM) for HOCM patients.

Case presentation: Anesthesia management is crucial in this groundbreaking procedure. We present three representative cases of patients with HOCM: a typical case, a geriatric case, and a case with extreme hypertrophy of the interventricular septum. Additionally, we summarize the perioperative anesthesia management specific to TA-BSM.

Conclusions: Guided by transesophageal echocardiography, TA-BSM significantly reduces left ventricular outflow tract obstruction without cardiopulmonary bypass. Precise perioperative anesthesia management, coupled with seamless collaboration among anesthesiologists, surgeons, and sonographers, has been pivotal to the successful implementation of this procedure in HOCM patients.

查看原文本刊更多论文

肥厚性梗阻性心肌病经根尖搏动-心间隔肌切除术的麻醉程序：附三例报告。

背景：中隔肌切除术是治疗重度肥厚性梗阻性心肌病（HOCM）的金标准。最近，我们医院的心胸外科团队为HOCM患者开发了一种新的手术入路，称为经根尖跳动-心间隔肌切除术（TA-BSM）。病例介绍：麻醉管理在这个开创性的手术中是至关重要的。我们提出了三个典型的HOCM患者病例：一个典型病例，一个老年病例，和一个室间隔极度肥大的病例。此外，我们总结了TA-BSM的围手术期麻醉管理。结论：经食管超声心动图引导下，TA-BSM可明显减轻左心室流出道梗阻，无需体外循环。精确的围手术期麻醉管理，加上麻醉师、外科医生和超声医师之间的无缝协作，是HOCM患者成功实施该手术的关键。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of anesthesia and translational medicine

自引率

0.00%

发文量