Key result
Preoperative vasodilator testing and IV nitroglycerin facilitate successful major surgery in severe primary pulmonary hypertension.
Case Report (n=1)
Preoperative pulmonary vasodilator testing and intraoperative targeted vasodilator therapy (nitroglycerin) can enable successful major noncardiac surgery in patients with severe primary pulmonary hypertension.
Authors
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May support vasodilator testing and nitroglycerin titration for severe PH noncardiac surgery; hypothesis-generating and leaves open need for prospective trials.
Rodriguez et al. (1998) conducted a case report in Primary pulmonary hypertension and abdominal aortic aneurysm (n=1). Preoperative pulmonary vasodilator testing and perioperative IV nitroglycerin was evaluated on Successful surgical outcome and survival. A 72-year-old woman with severe primary pulmonary hypertension successfully underwent major surgery using preoperative vasodilator testing and perioperative IV nitroglycerin.
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