Poirier H, Brusset A, Fischler M
Service d'anesthésie, hôpital Foch, Suresnes, France.
Ann Fr Anesth Reanim. 2000 Oct;19(8):599-602. doi: 10.1016/s0750-7658(00)00265-3.
We submit two case reports of apical hypertrophic cardiomyopathy knowing that the diagnosis of one of them has been very intricate at the time of preoperative evaluation. This disease, unfrequent besides Japan, is either silent or induces cardio-vascular symptoms which are often poorly typical. The diagnosis relies on echocardiography using a high frequency probe to reveal an apical hypertrophy. In one case, a coronarography has been necessary since echocardiography failed to establish a diagnosis. Anaesthestic perioperative management should take into account the risk of apical ischaemia and the impairment of the left ventricle compliance.
我们提交两例心尖肥厚型心肌病的病例报告，其中一例在术前评估时诊断非常复杂。这种疾病除日本外并不常见，要么无症状，要么引发心血管症状，而这些症状往往缺乏典型性。诊断依赖于使用高频探头的超声心动图来揭示心尖肥厚。在一例中，由于超声心动图未能确诊，因此有必要进行冠状动脉造影。围手术期麻醉管理应考虑心尖缺血风险和左心室顺应性受损情况。
