A 16-year-old girl with familial pulmonary arterial hypertension (PAH) presented to our institution for consideration of bilateral lung transplant. She was small for her age because of her chronic medical condition and had been taking pulmonary vasodilators for the past several years…
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Concomitant severe PAH and RV systolic dysfunction present a significant clinical challenge for cardiothoracic anesthesiologists, who should be aware of the potential side effects of various PAH treatment options. A balanced anesthetic technique and appropriate vasoactive selection are essential to the success of lung transplant in this patient population.
Article by: T. Everett Jones, M.D., Yong G. Peng, M.D., Ph.D., FASE, FASA