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Review
. 2021 Mar;42(1):133-141.
doi: 10.1016/j.ccm.2020.11.013. Epub 2021 Jan 8.

Preoperative Assessment and Perioperative Management of the Patient with Pulmonary Vascular Disease

Jochen Steppan  1 , Paul M Heerdt  2
Affiliations
Review

Preoperative Assessment and Perioperative Management of the Patient with Pulmonary Vascular Disease

Jochen Steppan et al. Clin Chest Med. 2021 Mar.

Abstract

The incidence of pulmonary hypertension (PH) in patients undergoing noncardiac surgery has increased steadily over the past decade. Patients with known PH have significantly higher perioperative morbidity and mortality than those without PH. Moreover, a substantial number of patients may have occult disease. It, therefore, is of paramount importance for perioperative providers to recognize high-risk patients and treat them appropriately. This review first provides an overview of PH pathophysiology, then estimates the perioperative incidence of PH and its impact on surgical outcomes, and finally outlines a perioperative management strategy.

Keywords: Anesthesia; Pulmonary hypertension; Surgery.

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Conflict of interest statement

Disclosure P.M. Heerdt: Consultant, Baxter International and Baudax Bio; Jochen steppan is funded by the NHLBI grant K08HL145132.

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