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Case Reports
. 2019 May 1;12(9):313-316.
doi: 10.1213/XAA.0000000000000919.

Laparoscopic Rectopexy in a Patient With Pulmonary Hypertension Associated With Scleroderma: A Case Report

Olivier Montandrau  1 , Paola Mascitti  1 , Cécile Boucau  1 , Julie Cosserat  2 , Christine Denet  3 , Marc Beaussier  1 , Ivan Philip  1
Affiliations
Case Reports

Laparoscopic Rectopexy in a Patient With Pulmonary Hypertension Associated With Scleroderma: A Case Report

Olivier Montandrau et al. A A Pract. .

Abstract

We report the perioperative management of a patient with pulmonary hypertension under new-generation treatments who underwent laparoscopic surgery. Preoperatively, arterial catheter, central venous line, and transesophageal echocardiography probe were inserted in addition to standard monitoring. Intraoperatively, inhaled nitric oxide was used because of increasing pressure in the right heart chambers related to the Trendelenburg position and the pneumoperitoneum. The operation finally lasted <2 hours without complication. The prognosis of patients with pulmonary hypertension has evolved since the advent of new management strategies. Thorough preoperative assessment and multidisciplinary discussion in a referral center are essential for medical optimization.

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