Clinical Medicine Research

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Anesthetic Considerations on Pulmonary Hypertension: A Case Report and Minireview

Received: 07 December 2014    Accepted: 12 December 2014    Published: 19 December 2014
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Abstract

Pulmonary hypertension presents a great challenge to the anesthesiologist. The number of patients suffering from pulmonary hypertension presenting for surgery is increasing because of increased age and the modern medical and surgical therapy as well. We present a case of a patient suffering from pulmonary hypertension scheduled for left radical nephrectomy due to left kidney tumor. Preoperative optimization and prevention of deterioration of pulmonary hypertension and right side heart failure are the problems the anesthesiologist must deal with. A good collaboration among cardiologist, anesthesiologist, and the surgeon can guarantee the patient’s outcome.

DOI 10.11648/j.cmr.20140306.17
Published in Clinical Medicine Research (Volume 3, Issue 6, November 2014)
Page(s) 200-202
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

General Anesthesia, Pulmonary Hypertension, Right Heart Failure

References
[1] Loyd J, Butler M, Foround T, et al. Genetic anticipation and abnormal gender ratio at birth in familial primary pulmonary hypertension. Am J Respir Crit Care Med 1995; 152:93-97.
[2] Fox Ch, Kalarickal Ph, Yarboruough M, Jin J. Perioperative management including new pharmacological vistas for patients with pulmonary hypertension for non cardiac surgery. Curr Opin Anaesthesiol 2008; 21:467-472.
[3] Gaine S. Pulmonary hypertension. JAMA 2000; 284: 3160-3168.
[4] Blaise G, Langleben D, Hubert B. Pulmonary artery hypertension: pathophysiology and anesthetic approach. Anesthesiology 2003; 99:1415-1432.
[5] Bossone E, Paciaccio G, Larussi D et al. The prognostic role of the ECG in primary pulmonary hypertension. Chest 2002; 121:513-518.
[6] Nauser T, Stives S. Diagnosis and treatment of pulmonary hypertension. Ann Fam Phys 2001; 63: 1789-1796.
[7] Tanake H, Tajimi K, Moritsune O, et al. Effects of lirinone on pulmonary vasculature in normal dogs and dogs with pulmonary hypertension. Crit Care Med 1991; 19:68-74.
[8] Ichinose F, Roberts J, Zapol W. Inhaled nitric oxide: a selective pulmonary vasodilator-current uses and therapeutic potential. Circulation 2004; 109: 3106-3111.
[9] Cabrol S, Sousa S, Jaix X, et al. Intravenous epoprostenol in inoperable chronic thromboembolic pulmonary hypertension. J Heart Lung Transplant 2007; 26:357-362.
[10] Wilkens H, Guth A, Konig J, et al. Effect of iloprost plus oral sildenafil in patient with primary pulmonary hypertension. Circulation 2001; 104:1218-1222.
[11] Gordon C, Colard Ch, Pan W. Intraoperative management of pulmonary hypertension and associated right heart failure. Curr Opin Anaesthesiol 2010; 23: 49-56.
Author Information
  • Department of Microbiology, “Mother Teresa” University Hospital Centre, Albania

  • Department of Microbiology, “Mother Teresa” University Hospital Centre, Albania

  • Department of Surgery, Division of Urology, “Mother Teresa” University Hospital Centre, Albania

  • Department of Surgery, Division of General Surgery, “Mother Teresa” University Hospital Centre, Albania

  • Department of Surgery, Division of General Surgery, “Mother Teresa” University Hospital Centre, Albania

  • Department of Surgery, Division of Anaesthesiology and Intensive Care, “Mother Teresa” University Hospital Centre, Albania

Cite This Article
  • APA Style

    Andi Koraqi, Denada Lacej, Rezart Xhani, Myzafer Kaci, Gjergj Andrea, et al. (2014). Anesthetic Considerations on Pulmonary Hypertension: A Case Report and Minireview. Clinical Medicine Research, 3(6), 200-202. https://doi.org/10.11648/j.cmr.20140306.17

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    ACS Style

    Andi Koraqi; Denada Lacej; Rezart Xhani; Myzafer Kaci; Gjergj Andrea, et al. Anesthetic Considerations on Pulmonary Hypertension: A Case Report and Minireview. Clin. Med. Res. 2014, 3(6), 200-202. doi: 10.11648/j.cmr.20140306.17

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    AMA Style

    Andi Koraqi, Denada Lacej, Rezart Xhani, Myzafer Kaci, Gjergj Andrea, et al. Anesthetic Considerations on Pulmonary Hypertension: A Case Report and Minireview. Clin Med Res. 2014;3(6):200-202. doi: 10.11648/j.cmr.20140306.17

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  • @article{10.11648/j.cmr.20140306.17,
      author = {Andi Koraqi and Denada Lacej and Rezart Xhani and Myzafer Kaci and Gjergj Andrea and Rudin Domi},
      title = {Anesthetic Considerations on Pulmonary Hypertension: A Case Report and Minireview},
      journal = {Clinical Medicine Research},
      volume = {3},
      number = {6},
      pages = {200-202},
      doi = {10.11648/j.cmr.20140306.17},
      url = {https://doi.org/10.11648/j.cmr.20140306.17},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.cmr.20140306.17},
      abstract = {Pulmonary hypertension presents a great challenge to the anesthesiologist. The number of patients suffering from pulmonary hypertension presenting for surgery is increasing because of increased age and the modern medical and surgical therapy as well. We present a case of a patient suffering from pulmonary hypertension scheduled for left radical nephrectomy due to left kidney tumor. Preoperative optimization and prevention of deterioration of pulmonary hypertension and right side heart failure are the problems the anesthesiologist must deal with. A good collaboration among cardiologist, anesthesiologist, and the surgeon can guarantee the patient’s outcome.},
     year = {2014}
    }
    

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    AU  - Andi Koraqi
    AU  - Denada Lacej
    AU  - Rezart Xhani
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    AB  - Pulmonary hypertension presents a great challenge to the anesthesiologist. The number of patients suffering from pulmonary hypertension presenting for surgery is increasing because of increased age and the modern medical and surgical therapy as well. We present a case of a patient suffering from pulmonary hypertension scheduled for left radical nephrectomy due to left kidney tumor. Preoperative optimization and prevention of deterioration of pulmonary hypertension and right side heart failure are the problems the anesthesiologist must deal with. A good collaboration among cardiologist, anesthesiologist, and the surgeon can guarantee the patient’s outcome.
    VL  - 3
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