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VOLUME 4 , ISSUE 1 ( January-June, 2021 ) > List of Articles

SHORT COMMUNICATION

Thoracic Paravertebral Block as an Alternative to General Anesthesia in Patients with Hypertrophic Cardiomyopathy for Elective Breast Surgeries: A Case Series Study

Rakesh Sharma, George C Ambooken, Venigalla Sri Krishna

Keywords : Breast surgeries, Hypertrophic cardiomyopathy, Paravertebral block

Citation Information : Sharma R, Ambooken GC, Krishna VS. Thoracic Paravertebral Block as an Alternative to General Anesthesia in Patients with Hypertrophic Cardiomyopathy for Elective Breast Surgeries: A Case Series Study. Journal of Medical Academics 2021; 4 (1):30-32.

DOI: 10.5005/jp-journals-10070-0066

License: CC BY-NC 4.0

Published Online: 01-12-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Hypertrophic cardiomyopathy (HOCM) is a cardiac disease characterized by asymmetric hypertrophy of the interventricular septum (IVS), causing intermittent obstruction of the left ventricular outflow tract (LVOT). Sympathetic stimulation during general anesthesia (GA) in HOCM patients poses the risk of sudden intraoperative death. It is pertinent to appreciate that surgery and anesthesia often complicate the perioperative outcome if adequate monitoring and proper care are not taken. Therefore, a complete understanding of the pathophysiology, hemodynamic changes, and anesthetic implications of HOCM is required for a successful perioperative outcome. Regional anesthesia using paravertebral block (PVB) provides an excellent alternative to GA in HOCM patients undergoing carcinoma breast surgery. We hereby describe the perioperative management of three patients of HOCM, with PVB as the preferred anesthetic modality, which resulted in excellent intraoperative conditions with adequate postoperative analgesia and negligible hemodynamic alterations.


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