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Atrioventricular Sequential Pacing for Hypertrophic Cardiomyopathy During Liver Transplantation

Juan Ramos1, Sher-Lu Pai, Dana K Perry

  • 1From the Departments of *Anesthesiology and †Transplant, and ‡Division of Cardiovascular Diseases, Mayo Clinic Florida, Jacksonville, Florida.

A & a Case Reports
|October 15, 2015
PubMed

Insights

Preoperative atrioventricular sequential pacing can aid in managing patients with severe hypertrophic cardiomyopathy during liver transplantation, reducing risks associated with this myocardial disorder.

Area of Science:

  • Cardiology
  • Transplantation Medicine
  • Critical Care Medicine

Background:

  • Hypertrophic cardiomyopathy (HCM) is a myocardial disorder associated with increased risks during liver transplantation.
  • Managing patients with severe HCM undergoing liver transplantation presents significant challenges due to potential hemodynamic instability.

Observation:

  • This report details the successful use of preoperative atrioventricular sequential pacing in a patient with severe refractory HCM.
  • The pacing was employed to facilitate intraoperative management during an orthotopic liver transplantation.

Findings:

  • Atrioventricular sequential pacing provided crucial hemodynamic support during the complex surgical procedure.
  • This intervention helped mitigate the risks of morbidity and mortality linked to HCM in the context of liver transplantation.

Implications:

  • Preoperative cardiac pacing should be considered as a valuable tool for managing high-risk HCM patients undergoing liver transplantation.
  • Further research into optimizing anesthetic and surgical protocols for HCM patients is warranted.

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