Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2012 Jul;56(4):401-4.
doi: 10.4103/0019-5049.100838.

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

Akilandeswari Manickam  1 , Aruna Parameswari, Mahesh Vakamudi
Affiliations

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

Akilandeswari Manickam et al. Indian J Anaesth. 2012 Jul.

Abstract

We describe the anaesthetic management of adrenalectomy in a patient with Cushing's syndrome due to adrenal mass with coexisting non-compaction cardiomyopathy. The problems due to hypersecretion of cortisol in Cushing's syndrome were compounded by the association of a rare form of genetic cardiomyopathy with very few guidelines regarding the perioperative management. The knowledge about the pathophysiological changes, clinical presentation and complications in non-compaction cardiomyopathy is essential for planning the anaesthetic care, and the aim of this presentation is to highlight the issues crucial for management of such challenging patients.

Keywords: Cushing's syndrome; non-compaction cardiomyopathy; perioperative care.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: None declared

Similar articles

See all similar articles

References

    1. Shama ST, Nieman LK. Cushing's syndrome: All variants, detection and treatment. Endocrinol Metab Clin North Am. 2011;40:379–91. - PMC - PubMed
    1. Sasara YT, Taira Y, Shiroma H, Shimabukuro H. The anesthestic management for adrenalectomy in Cushing syndrome with pregnancy. Masui. 1992;41:1168–74. - PubMed
    1. Domi R, Sula H. Cushing syndrome and the anesthesiologist. Indian J Endocrinol Metab. 2011;15:209–13. - PMC - PubMed
    1. Khan ZH, Gharabaghian M, Nilli F, Ghiamat M, Mohammadi M. Easy Endotracheal Intubation of a Patient Suffering from both Cushing's and Nelson's Syndromes Predicted by the upper lip bite test despite a Mallampati Class 4 airway. Anesth Analg. 2007;105:86–7. - PubMed
    1. Peppa M, Ikonomidis I, Hadjidakis D, Pikounis V. Dilated cardiomyopathy as the predominant feature of Cushing syndrome. Am J Med Sci. 2009;338:252–3. - PubMed