This case report demonstrates that patients with severe primary pulmonary hypertension can successfully undergo major noncardiac surgery when guided by preoperative pulmonary vasodilator testing and managed with targeted intraoperative and postoperative vasodilator therapy.
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May support vasodilator-guided surgery in severe pulmonary hypertension; hypothesis-generating and should not yet change practice.
Rodriguez et al. (1998) studied this question.