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Septal Myectomy and Alcohol Septal Ablation

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 2-4 hours (long)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Considerations : Arterial line, Central line, Fluoroscopy / Xray, Off-site, Cardiopulmonary Bypass, TEE

Anesthetic Approaches

1GETT, 1/2 MAC Gas, Remifentanil Drip
2GETT, TIVA, Propofol Drip
3MAC, Conscious Sedation
The Surgery

Selection - transthoracic echocardiography and cardiac MRI define septal thickness, the level of obstruction, and the resting and provoked LVOT gradient. Surgery is offered for symptoms that persist...

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