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Korean Journal of Anesthesiology 2008;54(4):473-477.
DOI: https://doi.org/10.4097/kjae.2008.54.4.473   
Anesthetic Management in a Patient with Severe Primary Pulmonary Hypertension with Right Ventricular Dysfunction: A case report.
Yong Seon Choi, Soon Ho Nam, Yong Seok Choi, Young Lan Kwak
1Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea. ylkwak@yuhs.ac
2Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea.
Primary pulmonary hypertension is characterized by progressive increase in pulmonary vascular resistance leading to right ventricular (RV) failure and death.The desirable goal of primary pulmonary hypertension is preserving coronary perfusion of RV while decreasing pulmonary arterial pressure with selective pulmonary vasodilators.We report a case in which anesthetic management was successfully performed in a 67 years old man, who had experienced ventricular tachycardia at the previous anesthesia induction, with severe pulmonary hypertension and right ventricular dysfunction.
Key Words: primary pulmonary hypertension; right ventricular failure; selective pulmonary vasodilators


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