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Pulmonary Hypertension in Cardiac Surgery

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Anesthesia in High-Risk Patients

Abstract

Pulmonary hypertension is a high-risk situation for anesthesia, specifically during cardiac surgery or transplantation. Three major pathways (the prostacyclin, endothelin, and nitric oxide (NO) pathways) have been established contributing to recent significant progresses in specific medical treatments, which have changed the prognosis. Recommendations for drugs are also related to the update classification of a complex disease. Nevertheless, PH associated with left heart failure, frequently observed in cardiac surgery, has been more explored only recently, like “combined” post- and precapillary PH (Cpc-PH), and need more evaluation for adequate treatment.

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Correspondence to Bastien Olivier M.D., Ph.D. .

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Olivier, B. (2018). Pulmonary Hypertension in Cardiac Surgery. In: Fellahi, JL., Leone, M. (eds) Anesthesia in High-Risk Patients. Springer, Cham. https://doi.org/10.1007/978-3-319-60804-4_3

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  • DOI: https://doi.org/10.1007/978-3-319-60804-4_3

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