Indian Journal of Anaesthesia  
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CASE REPORT
Year : 2012  |  Volume : 56  |  Issue : 4  |  Page : 401-404

Anaesthetic management of a patient with Cushing's syndrome and non-compaction cardiomyopathy for adrenal tumour resection


Department of Anesthesiology, Critical Care and Pain Medicine, Sri Ramachandra University, Porur, Chennai, Tamil Nadu, India

Correspondence Address:
Akilandeswari Manickam
Department of Anesthesiology, Critical Care and Pain Medicine, No. 1, Ramachandra Nagar, Sri Ramachandra University, Porur, Chennai - 600 116, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5049.100838

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We describe the anaesthetic management of adrenalectomy in a patient with Cushing's syndrome due to adrenal mass with coexisting non-compaction cardiomyopathy. The problems due to hypersecretion of cortisol in Cushing's syndrome were compounded by the association of a rare form of genetic cardiomyopathy with very few guidelines regarding the perioperative management. The knowledge about the pathophysiological changes, clinical presentation and complications in non-compaction cardiomyopathy is essential for planning the anaesthetic care, and the aim of this presentation is to highlight the issues crucial for management of such challenging patients.


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