Anesthetic management of patient with hypertrophic cardiomyopathy and automatic implantable cardioverter defibrillator with a hand fracture

• 作者: Jaime Ortiz
• 来源期刊: 世界麻醉学杂志
• 学科: 医学
• 关键词: Hypertrophic cardiomyopathy AUTOMATIC implantable cardioverter DEFIBRILLATOR BRACHIAL plexus block HAND FRACTURE ROPIVACAINE
• 年，卷（期）: 2013,（1）
• 页码范围: 8-10
• 页数: 3页
• 分类号: R

摘要

A 26-year-old male with a history of hypertrophic cardiomyopathy(HCM)and ventricular arrhythmias s/p automatic implantable cardioverter defibrillator(AICD)placement presented for open reduction and internal fixation of an open third metacarpal fracture and extensor tendon repair.He underwent successful surgery after placement of an ultrasound-guided infraclavicular brachial plexus block with ropivacaine 0.5%as the main anesthetic.This case report discusses the anesthetic management of patients with HCM and AICD,different approaches available for brachial plexus blockade,and potential complications of anesthesia and surgery in this group of patients.