Perioperative Anaesthesia Management of Patient with Dilated Cardiomyopathy Posted for Total Abdominal Hysterectomy

Dilated cardiomyopathy (DCM) is characterized by progressive cardiac dilation resulting in impaired systolic function of one or both ventricles. Perioperative anaesthetic management of patients with DCM undergoing noncardiac surgery always poses several challenges to anaesthesiologist. Progressive cardiac failure and malignant arrhythmias worsen outcome in such patients. We share our experience of anaesthesia considerations while managing obese patient with severe DCM and co morbidities of hypertension and hypothyroidism. We managed present case with controlled epidural anaesthesia, which offered excellent hemodynamic stability. Another distinct advantage of this technique is good quality postoperative analgesia throughout perioperative period.