Anaesthetic Management of a Patient with Left Ventricular Non-Compaction Undergoing Laparotomy

We report a case of left ventricular non-compaction as patient underwent laparotomy for ovarian cystectomy. Left ventricular non-compaction is a rare congenital cardiomyopathy with clinical features of heart failure, systemic thromboembolic events and arrhythmias. Perioperative management of these patients can be very challenging. We used general anaesthesia with subarachnoid block for our patient. We used perioperative, goal-directed, fluid therapy using LiDCO rapid in this case. Patient was monitored in high dependency unit for the risk of perioperative arrhythmias and discharged home in next 24 hours.