Doxorubicin-induced dilated cardiomyopathy for modified radical mastectomy: A case managed under cervical epidural anaesthesia
Doxorubicin (Dox) is an antineoplastic agent used in a wide variety of malignancies. Its use is limited because of a cumulative, dose-dependent irreversible cardiomyopathy. We report a case of Dox induced cardiomyopathy, posted for modified radical mastectomy. The patient had poor LV function along...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2013-01-01
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| Series: | Indian Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2013;volume=57;issue=2;spage=185;epage=187;aulast=Jain |
| _version_ | 1818498916196286464 |
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| author | Anuj Jain Kamal Kishore |
| author_facet | Anuj Jain Kamal Kishore |
| author_sort | Anuj Jain |
| collection | DOAJ |
| description | Doxorubicin (Dox) is an antineoplastic agent used in a wide variety of malignancies. Its use is limited because of a cumulative, dose-dependent irreversible cardiomyopathy. We report a case of Dox induced cardiomyopathy, posted for modified radical mastectomy. The patient had poor LV function along with moderate pulmonary hypertension. Regional anaesthesia was planned as the risk associated with general anaesthesia was more. A cervical epidural was placed and a block adequate for surgery could be achived. The haemodynamic parameters as measured by esophageal doppler showed a stable trend. The surgery could be managed well under cervical epidural and also provided a good postoperative pain relief. |
| first_indexed | 2024-12-10T20:22:04Z |
| format | Article |
| id | doaj.art-51b483c628de41249421296c683d2770 |
| institution | Directory Open Access Journal |
| issn | 0019-5049 |
| language | English |
| last_indexed | 2024-12-10T20:22:04Z |
| publishDate | 2013-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj.art-51b483c628de41249421296c683d27702022-12-22T01:34:59ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492013-01-0157218518710.4103/0019-5049.111852Doxorubicin-induced dilated cardiomyopathy for modified radical mastectomy: A case managed under cervical epidural anaesthesiaAnuj JainKamal KishoreDoxorubicin (Dox) is an antineoplastic agent used in a wide variety of malignancies. Its use is limited because of a cumulative, dose-dependent irreversible cardiomyopathy. We report a case of Dox induced cardiomyopathy, posted for modified radical mastectomy. The patient had poor LV function along with moderate pulmonary hypertension. Regional anaesthesia was planned as the risk associated with general anaesthesia was more. A cervical epidural was placed and a block adequate for surgery could be achived. The haemodynamic parameters as measured by esophageal doppler showed a stable trend. The surgery could be managed well under cervical epidural and also provided a good postoperative pain relief.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2013;volume=57;issue=2;spage=185;epage=187;aulast=JainAdriamycincervical epiduraldilated cardiomyopathypulmonary arterial hypertension |
| spellingShingle | Anuj Jain Kamal Kishore Doxorubicin-induced dilated cardiomyopathy for modified radical mastectomy: A case managed under cervical epidural anaesthesia Indian Journal of Anaesthesia Adriamycin cervical epidural dilated cardiomyopathy pulmonary arterial hypertension |
| title | Doxorubicin-induced dilated cardiomyopathy for modified radical mastectomy: A case managed under cervical epidural anaesthesia |
| title_full | Doxorubicin-induced dilated cardiomyopathy for modified radical mastectomy: A case managed under cervical epidural anaesthesia |
| title_fullStr | Doxorubicin-induced dilated cardiomyopathy for modified radical mastectomy: A case managed under cervical epidural anaesthesia |
| title_full_unstemmed | Doxorubicin-induced dilated cardiomyopathy for modified radical mastectomy: A case managed under cervical epidural anaesthesia |
| title_short | Doxorubicin-induced dilated cardiomyopathy for modified radical mastectomy: A case managed under cervical epidural anaesthesia |
| title_sort | doxorubicin induced dilated cardiomyopathy for modified radical mastectomy a case managed under cervical epidural anaesthesia |
| topic | Adriamycin cervical epidural dilated cardiomyopathy pulmonary arterial hypertension |
| url | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2013;volume=57;issue=2;spage=185;epage=187;aulast=Jain |
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