Abstract
Left ventricular non-compaction (LVNC) is a rare congenital cardiomyopathy characterized by heart failure, arrhythmia, and embolic events. A 65-year-old man, previously diagnosed as LVNC, was admitted to the emergency department with severe abdominal pain. He was diagnosed as appendicitis and treated conservatively with antibiotics. The echocardiogram examination showed left ventricular ejection fraction of less than 25%, and his B-type natriuretic peptide assay was>5,000 pg · ml-1 on admission. Ten days after admission, he underwent emergency surgery for suspected perforation of vermiform appendix. Transesophageal echocardiography (TEE) was used for realtime evaluation of cardiac function and restrictive fluid management during surgery. He was transferred to intensive care unit (ICU) for postoperative care, and extubated 16 hours after surgery. On the third postoperative day, he was discharged from ICU without any complications. We consider that perioperative hemodynamic management with TEE may be useful for gastrointestinal tract surgeries in patients with severe cardiac disease, such as LVNC.
| Original language | English |
|---|---|
| Pages (from-to) | 174-179 |
| Number of pages | 6 |
| Journal | Japanese Journal of Anesthesiology |
| Volume | 64 |
| Issue number | 2 |
| Publication status | Published - 2015 Feb 1 |
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Keywords
- Emergency gastrointestinal perforation surgery
- Heart failure
- Left ventricular non-compaction
- Transesophageal echocardiography
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine
Cite this
Perioperative management of emergency gastrointestinal surgery in a patient with left ventricular non-compaction. / Kurazumi, Takuya; Suzuki, Takeshi; Ideno, Satoshi; Sakuma, Takahiro; Nagafuchi, Mari; Sato, Tomoyuki; Osinda, Junya.
In: Japanese Journal of Anesthesiology, Vol. 64, No. 2, 01.02.2015, p. 174-179.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Perioperative management of emergency gastrointestinal surgery in a patient with left ventricular non-compaction
AU - Kurazumi, Takuya
AU - Suzuki, Takeshi
AU - Ideno, Satoshi
AU - Sakuma, Takahiro
AU - Nagafuchi, Mari
AU - Sato, Tomoyuki
AU - Osinda, Junya
PY - 2015/2/1
Y1 - 2015/2/1
N2 - Left ventricular non-compaction (LVNC) is a rare congenital cardiomyopathy characterized by heart failure, arrhythmia, and embolic events. A 65-year-old man, previously diagnosed as LVNC, was admitted to the emergency department with severe abdominal pain. He was diagnosed as appendicitis and treated conservatively with antibiotics. The echocardiogram examination showed left ventricular ejection fraction of less than 25%, and his B-type natriuretic peptide assay was>5,000 pg · ml-1 on admission. Ten days after admission, he underwent emergency surgery for suspected perforation of vermiform appendix. Transesophageal echocardiography (TEE) was used for realtime evaluation of cardiac function and restrictive fluid management during surgery. He was transferred to intensive care unit (ICU) for postoperative care, and extubated 16 hours after surgery. On the third postoperative day, he was discharged from ICU without any complications. We consider that perioperative hemodynamic management with TEE may be useful for gastrointestinal tract surgeries in patients with severe cardiac disease, such as LVNC.
AB - Left ventricular non-compaction (LVNC) is a rare congenital cardiomyopathy characterized by heart failure, arrhythmia, and embolic events. A 65-year-old man, previously diagnosed as LVNC, was admitted to the emergency department with severe abdominal pain. He was diagnosed as appendicitis and treated conservatively with antibiotics. The echocardiogram examination showed left ventricular ejection fraction of less than 25%, and his B-type natriuretic peptide assay was>5,000 pg · ml-1 on admission. Ten days after admission, he underwent emergency surgery for suspected perforation of vermiform appendix. Transesophageal echocardiography (TEE) was used for realtime evaluation of cardiac function and restrictive fluid management during surgery. He was transferred to intensive care unit (ICU) for postoperative care, and extubated 16 hours after surgery. On the third postoperative day, he was discharged from ICU without any complications. We consider that perioperative hemodynamic management with TEE may be useful for gastrointestinal tract surgeries in patients with severe cardiac disease, such as LVNC.
KW - Emergency gastrointestinal perforation surgery
KW - Heart failure
KW - Left ventricular non-compaction
KW - Transesophageal echocardiography
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M3 - Article
C2 - 26121812
AN - SCOPUS:84924366929
VL - 64
SP - 174
EP - 179
JO - Japanese Journal of Anesthesiology
JF - Japanese Journal of Anesthesiology
SN - 0021-4892
IS - 2
ER -