Perioperative Implications in a Hypertrophic Cardiomyopathy Patient Undergoing Endonasal Orbital Decompression: A Case Report

Thyroid eye disease (TED) is an autoimmune disease of the retro-ocular tissue and occurs in patients with Graves' disease with hyperthyroidism. In severe cases, it can lead to vision loss; hence, timely management is important. Hypertrophic cardiomyopathy (HCM) is one of the systemic manifestat...

Full description

Saved in:
Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-08, Vol.16 (8), p.e67115
Main Authors: Tikait, Priyanka D, Sharma, Ridhima, Kewlani, Anu, Kutum, Chayanika, Choudhary, Ripon
Format: Article
Language:English
Subjects:
Anesthesia
Anesthesiology
Beta blockers
Cardiac arrhythmia
Cardiomyopathy
Case reports
Ejection fraction
Endocrinology/Diabetes/Metabolism
Endoscopy
Extubation
Eye diseases
Graves disease
Hemodynamics
Hyperthyroidism
Intubation
Ischemia
Medical personnel
Ophthalmology
Patients
Surgery
Thyroid gland
Ultrasonic imaging
Veins & arteries
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Thyroid eye disease (TED) is an autoimmune disease of the retro-ocular tissue and occurs in patients with Graves' disease with hyperthyroidism. In severe cases, it can lead to vision loss; hence, timely management is important. Hypertrophic cardiomyopathy (HCM) is one of the systemic manifestations related to hyperthyroidism. We present a case of successful perioperative management of Graves' disease with TED and HCM posted for endonasal decompression surgery. Hyperthyroidism itself has many implications on perioperative anesthetic management, which can become more complicated when associated with co-existing HCM. However, our case proves that detailed preoperative evaluation, vigilant intraoperative monitoring, and adequate analgesia can lead to a smooth perioperative course for HCM patients for non-cardiac surgeries.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.67115