How We Would Treat Our Own Pulmonary Hypertension if We Needed to Undergo Cardiac Surgery

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Pulmonary hypertension (PH) is a disease that has many etiologies and is particularly prevalent in patients presenting for cardiac surgery, with which it is linked to poor outcomes. This manuscript is intended to provide a comprehensive review of the impact of PH on the perioperative management of patients who are undergoing cardiac surgery. The diagnosis of PH often involves a combination of noninvasive and invasive testing, whereas preoperative optimization frequently necessitates the use of specific medications that affect anesthetic management of these patients. The authors postulate that a thoughtful, multidisciplinary approach is required to deliver excellent perioperative care. Furthermore, they use an index case to illustrate the implications of managing a patient with pulmonary hypertension who presents for cardiac surgery with cardiopulmonary bypass.

Original languageEnglish (US)
Pages (from-to)1540-1548
Number of pages9
JournalJournal of cardiothoracic and vascular anesthesia
Issue number6
StatePublished - Jun 2022


  • anesthesia
  • cardiac surgery
  • cardiopulmonary bypass
  • perioperative management
  • pulmonary arterial hypertension
  • pulmonary hypertension

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine


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