Anaesthetic management of a patient with Cushing′s syndrome and non-compaction cardiomyopathy for adrenal tumour resection

Manickam, A.; Parameswari, Aruna; Vakamudi, Mahesh

doi:10.4103/0019-5049.100838

Cited by 4 publications

(3 citation statements)

References 12 publications

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“…With above all precautions, patient was extubated on table and shifted to surgical intensive care unit. It is worthwhile to remember that in Cushing syndrome fast tracking is essential to reduce immediate and long term postoperative respiratory complication [8][9][10].…”

Section: Discussionmentioning

confidence: 99%

Anaesthetic Challenges for Laparoscopic Bilateral Adrenalectomy in a Rare Case of Cushing’s Syndrome – A Case Report

Rajajeyakumar¹

2018

MJCCS

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Perioperative management of Cushing's syndrome for laparoscopic bilateral adrenalectomy is a challenging task for anaesthetist. Laparoscopic bilateral adrenalectomy is an uncommon and complex procedure, in addition to that the associated comorbid conditions makes anaesthesiologist's job even more challenging. In this case report we would like to share an anesthetic experience for laparoscopic bilateral adrenalectomy in a rare case of Cushing's syndrome.

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Section: Discussionmentioning

confidence: 99%

Anaesthetic Challenges for Laparoscopic Bilateral Adrenalectomy in a Rare Case of Cushing’s Syndrome – A Case Report

Rajajeyakumar¹

2018

MJCCS

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“…12 In our case an apparently asymptomatic patient, previously undiagnosed and with no cardiac problems developed post-operative complications. The rarity of this condition with poor prognosis has limited case reports and perioperative guidelines in the literature.…”

Section: Figmentioning

confidence: 95%

“…The rarity of this condition with poor prognosis has limited case reports and perioperative guidelines in the literature. 12 The few available, do mention that the incidence of new post-operative arrhythmias following open cardiac and noncardiac surgeries in non-compaction is 21% and 3%, respectively. 13 Implying that these patients need to be watched very carefully in the post-operative period for the development of complications.…”

Section: Figmentioning

confidence: 99%

Non - Compaction Cardiomyopathy in an Apparently Healthy Patient: A Case Report

Madhumalah¹,

Banerjee²,

Sahajananda³

et al. 2015

jemds

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Non-compaction cardiomyopathy is a rare genetic cardiomyopathy caused by a disorder during endocardial morphogenesis and could be accompanied by life-threatening complications on presentation. The major clinical manifestations of Non-compaction cardiomyopathy are heart failure, arrhythmias, embolic events and sudden death. The left ventricle is the most commonly reported affected site, but a few cases of right ventricular involvement have also been reported. We describe the perioperative management of a young patient who was posted for total abdominal hysterectomy, with no co morbid conditions, unremarkable pre anesthetic evaluation and normal investigations, who developed congestive heart failure in the post-operative period. The diagnosis was confirmed after an emergency echocardiogram. Despite an increasing awareness and interest in this anomaly, however, there is still little knowledge regarding diagnostic criteria, symptoms and prognosis of this rare and unique congenital disorder categorized as unclassified cardiomyopathy. The rarity of this condition has limited case reports and perioperative guidelines in the literature. Diagnosing and differentiating this uncommon condition from other forms of cardiomyopathy are important as treatment and prognosis may differ significantly. Our current understanding of isolated left ventricular non-compaction, including diagnostic criteria, management and prognosis, is discussed. The prognosis of the disease is determined by its complications; the death rate and heart transplantation frequency can be as high as 50%.

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Anesthetic Management of Emergent Laparoscopic Bilateral Adrenalectomy in a Patient with a Life-Threatening Cortisol Crisis

et al. 2015

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Cushing syndrome may rarely present with life-threatening hypercortisolism, manifested by hypertension, hypokalemia, hyperglycemia, and edema. If medical treatment proves ineffective in ameliorating the symptoms, emergent rescue adrenalectomy may be the only way to relieve the crisis. We describe the anesthetic management of a patient with an ectopic adrenocorticotropic hormone-secreting tumor, whose condition was rapidly deteriorating due to severe cortisol excess, and emergent adrenalectomy was the only available therapeutic modality. Despite severe metabolic derangement, edema, and incipient respiratory failure, emergent bilateral laparoscopic adrenalectomy was performed and the patient improved sufficiently to undergo surgery for the ectopic lesion without incident.

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Anaesthetic management of a patient with Cushing′s syndrome and non-compaction cardiomyopathy for adrenal tumour resection

Cited by 4 publications

References 12 publications

Anaesthetic Challenges for Laparoscopic Bilateral Adrenalectomy in a Rare Case of Cushing’s Syndrome – A Case Report

Anaesthetic Challenges for Laparoscopic Bilateral Adrenalectomy in a Rare Case of Cushing’s Syndrome – A Case Report

Non - Compaction Cardiomyopathy in an Apparently Healthy Patient: A Case Report

Anesthetic Management of Emergent Laparoscopic Bilateral Adrenalectomy in a Patient with a Life-Threatening Cortisol Crisis

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