Anaesthetic Management of a Patient with Severe Cardiomyopathy for Intracranial Aneurysm Clipping

Dr. Madhushri Jethliya, Dr. Hemangi Karnik, Dr. Deepali Thakur

Abstract: Ruptured Intracranial aneurysm Subarachnoid Hemorrhage. Subarachnoid Hemorrhage (SAH) Induced Cardiac changes are Myocardial Infarction (47%), Arrhythmia (63%), CCF (31%). Cause: stress induced catecholamine release following SAH. Risk of death in those having Cardiomyopathy is 10 times higher. Takotsubo type of cardiomyopathy with apical ballooning seen many times with SAH occurring because of aneurysmal rupture. Anaesthesia is very challenging, Avoiding arrythmia, myocardial ischemia as well as aggregation of myocardial dysfunction, Fine balance of hemodynamic parameters needed for procedure.

Keywords: Anaesthetic Management, Cardiomyopathy, Intracranial Aneurysm Clipping