Successful management of diastolic heart failure in a patient with restrictive cardiomyopathy following an anterior communicating artery aneurysm clipping
Perioperative management of neurosurgical patients with an underlying myocardial dysfunction poses a unique challenge to the neuroanaesthesiologist and the neurointensivist. Sudden catecholamine surge during the aneurysmal subarachnoid haemorrhage (SAH) can cause severe cardiac dysfunction such as m...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
2017-01-01
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| Series: | Journal of Neuroanaesthesiology and Critical Care |
| Subjects: | |
| Online Access: | http://www.jnaccjournal.org/article.asp?issn=2348-0548;year=2017;volume=4;issue=2;spage=120;epage=123;aulast=Arumugam |
| _version_ | 1818335486558601216 |
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| author | Rajasekar Arumugam Georgene Singh Krishnaprabhu Raju Ramamani Mariappan |
| author_facet | Rajasekar Arumugam Georgene Singh Krishnaprabhu Raju Ramamani Mariappan |
| author_sort | Rajasekar Arumugam |
| collection | DOAJ |
| description | Perioperative management of neurosurgical patients with an underlying myocardial dysfunction poses a unique challenge to the neuroanaesthesiologist and the neurointensivist. Sudden catecholamine surge during the aneurysmal subarachnoid haemorrhage (SAH) can cause severe cardiac dysfunction such as myocardial ischaemia and cardiomyopathy. SAH in a patient with restrictive cardiomyopathy could be hazardous to the myocardium leading to severe cardiac morbidity. We report the successful management of an acute post-operative diastolic heart failure with a milrinone infusion in a patient with restrictive cardiomyopathy, following anterior communicating artery aneurysm clipping. We have discussed the 'dual beneficial' role of milrinone on the heart and the brain in this clinical setting. In addition, the importance of peri-operative utilisation of transoesophageal echocardiography and transthoracic echocardiography for the successful management of diastolic heart failure is highlighted. |
| first_indexed | 2024-12-13T14:24:12Z |
| format | Article |
| id | doaj.art-a957a1c169d44dc5bbcd9b77c0e78d1b |
| institution | Directory Open Access Journal |
| issn | 2348-0548 2348-926X |
| language | English |
| last_indexed | 2024-12-13T14:24:12Z |
| publishDate | 2017-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Neuroanaesthesiology and Critical Care |
| spelling | doaj.art-a957a1c169d44dc5bbcd9b77c0e78d1b2022-12-21T23:42:01ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Neuroanaesthesiology and Critical Care2348-05482348-926X2017-01-014212012310.4103/jnacc.jnacc_9_17Successful management of diastolic heart failure in a patient with restrictive cardiomyopathy following an anterior communicating artery aneurysm clippingRajasekar ArumugamGeorgene SinghKrishnaprabhu RajuRamamani MariappanPerioperative management of neurosurgical patients with an underlying myocardial dysfunction poses a unique challenge to the neuroanaesthesiologist and the neurointensivist. Sudden catecholamine surge during the aneurysmal subarachnoid haemorrhage (SAH) can cause severe cardiac dysfunction such as myocardial ischaemia and cardiomyopathy. SAH in a patient with restrictive cardiomyopathy could be hazardous to the myocardium leading to severe cardiac morbidity. We report the successful management of an acute post-operative diastolic heart failure with a milrinone infusion in a patient with restrictive cardiomyopathy, following anterior communicating artery aneurysm clipping. We have discussed the 'dual beneficial' role of milrinone on the heart and the brain in this clinical setting. In addition, the importance of peri-operative utilisation of transoesophageal echocardiography and transthoracic echocardiography for the successful management of diastolic heart failure is highlighted.http://www.jnaccjournal.org/article.asp?issn=2348-0548;year=2017;volume=4;issue=2;spage=120;epage=123;aulast=ArumugamAnterior communicating artery aneurysmdiastolic heart failuremilrinonerestrictive cardiomyopathysubarachnoid haemorrhagetransoesophagealtransthoracic echocardiography |
| spellingShingle | Rajasekar Arumugam Georgene Singh Krishnaprabhu Raju Ramamani Mariappan Successful management of diastolic heart failure in a patient with restrictive cardiomyopathy following an anterior communicating artery aneurysm clipping Journal of Neuroanaesthesiology and Critical Care Anterior communicating artery aneurysm diastolic heart failure milrinone restrictive cardiomyopathy subarachnoid haemorrhage transoesophageal transthoracic echocardiography |
| title | Successful management of diastolic heart failure in a patient with restrictive cardiomyopathy following an anterior communicating artery aneurysm clipping |
| title_full | Successful management of diastolic heart failure in a patient with restrictive cardiomyopathy following an anterior communicating artery aneurysm clipping |
| title_fullStr | Successful management of diastolic heart failure in a patient with restrictive cardiomyopathy following an anterior communicating artery aneurysm clipping |
| title_full_unstemmed | Successful management of diastolic heart failure in a patient with restrictive cardiomyopathy following an anterior communicating artery aneurysm clipping |
| title_short | Successful management of diastolic heart failure in a patient with restrictive cardiomyopathy following an anterior communicating artery aneurysm clipping |
| title_sort | successful management of diastolic heart failure in a patient with restrictive cardiomyopathy following an anterior communicating artery aneurysm clipping |
| topic | Anterior communicating artery aneurysm diastolic heart failure milrinone restrictive cardiomyopathy subarachnoid haemorrhage transoesophageal transthoracic echocardiography |
| url | http://www.jnaccjournal.org/article.asp?issn=2348-0548;year=2017;volume=4;issue=2;spage=120;epage=123;aulast=Arumugam |
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