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. 2015 Jun 15;8(6):9555-9.
eCollection 2015.

Anaesthetic management of laparoscopic surgery for rectal cancer in patients of dilated cardiomyopathy with poor ejection fraction: a case report

Yao-Hua Wu  1 , Liang Hu  1 , Jin Xia  1 , Quan-Shui Hao  1 , Li Feng  2 , Hong-Bing Xiang  2
Affiliations

Anaesthetic management of laparoscopic surgery for rectal cancer in patients of dilated cardiomyopathy with poor ejection fraction: a case report

Yao-Hua Wu et al. Int J Clin Exp Med. .

Abstract

A patient with dilated cardiomyopathy with poor ejection fraction posted for laparoscopic surgery for rectal cancer which was successfully performed under general anesthesia with endotracheal intubation and mechanical ventilation was reported. Our observations strongly indicate that detailed preoperative assessment, watchful intraoperative monitoring, and skillful optimization of fluid status and hemodynamic play important role in the high risk patient under general anesthesia with endotracheal intubation and mechanical ventilation.

Keywords: Anaesthetic management; dilated cardiomyopathy; laparoscopic surgery.

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Figures

Figure 1
Figure 1
Imaging data. A. Chest radiograph showed biventricular enlargement. B-D. Cardiac ultrasound imaging study revealed a left ventricle of 62 mm, left atrium of 48 mm, right ventricle of 36 mm, right atrium of 43 mm, a left-ventricular shortening <18%, and a left-ventricular ejection fraction of 31%.
Figure 2
Figure 2
Intraoperative haemodynamics. SBP: systolic blood pressure, MAP: mean arterial pressure, DBP: diastolic blood pressure, CVP: central venous pressure, and Peak: Peak of airway resistance.
See this image and copyright information in PMC

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