| Dynamic left ventricular outflow obstruction during lumbar laminectomy as an unexpected cause of intraoperative hypotension. | |
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MedLine Citation:
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PMID: 11907396 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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David A Zvara; Michael A Olympio; Michael J Frankland; John A Wilson |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of neurosurgical anesthesiology Volume: 14 ISSN: 0898-4921 ISO Abbreviation: J Neurosurg Anesthesiol Publication Date: 2002 Apr |
Date Detail:
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Created Date: 2002-03-21 Completed Date: 2002-05-07 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8910749 Medline TA: J Neurosurg Anesthesiol Country: United States |
Other Details:
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Languages: eng Pagination: 146-8 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157-1009, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Drug Resistance Female Humans Hypotension / drug therapy, etiology* Intervertebral Disk Displacement / surgery Intraoperative Complications / drug therapy, etiology* Laminectomy* Neurosurgical Procedures* Obesity / complications Spine / surgery* Ventricular Outflow Obstruction / complications* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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