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REVIEW ARTICLE
Year : 2017  |  Volume : 61  |  Issue : 9  |  Page : 753-759

Severe pulmonary hypertension and right ventricular failure


Department of Anaesthesiology, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India

Correspondence Address:
Praveen Kumar Neema
601, Type 5A, All India Institute of Medical Sciences Residents Campus, Kabir Nagar, Raipur - 492 099, Chhattisgarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ija.IJA_420_17

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Perioperative management of severe pulmonary hypertension (PH) is challenging. Anaesthesiologists come across perioperative management of such cases during incidental surgeries, surgery for various congenital heart diseases and valvular heart diseases and for caesarean section or painless labour in pregnant patient with Eisenmenger syndrome. Knowledge of pathophysiology of PH and novel drugs acting through different mechanisms is paramount in managing such patients. This review will help understanding pathophysiology of PH, anaesthetising patients with PH, use of novel drugs for PH and use of new mechanical devices for rescue of failing right ventricle.


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