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Anesthetic Management of a case of severe Dilated Cardiomyopathy with Splenic Abscess for Splenectomy: Case Report

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Author(s): Surbhi D Mundada | Bharat Shah

Journal: Indian Anaesthetists' Forum
ISSN 0973-0311

Volume: 12;
Issue: 9;
Start page: 1234;
Date: 2011;
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Keywords: cardiomyopathy | splenectomy | general anaesthesia

ABSTRACT
Dilated cardiomyopathy (DCM) is characterized by dilatation and impaired systolic function of one or both ventricles. Malignant arrhythmias are the most common cause of death in DCM. Around 50% of cases of non-ischemic dilated cardiomyopathy are idiopathic. Anaesthetic management of these patients is quite challenging. The anaesthesiologist must have the knowledge of its pathophysiology, clinical features, diagnostic evaluations and the treatment modalities. This is a report of successful anaesthetic management of a patient with severe DCM just recovered from cardiac failure with septic foci undergoing splenectomy under general anaesthesia
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