Anesthetic management of pulmonary endarterectomy in a patient with suprasystemic pulmonary pressure: a case report

Pravinkumar H. Patel; Harvesp Panthakey; Sandip Katkade; Hemant Mehta

doi:10.18203/2320-6012.ijrms20202286

Authors

Pravinkumar H. Patel Department of Anesthesia and Pain Management, Sir H. N. Reliance Foundation Hospital, Mumbai, Maharashtra, India
Harvesp Panthakey Department of Anesthesia and Pain Management, Sir H. N. Reliance Foundation Hospital, Mumbai, Maharashtra, India
Sandip Katkade Department of Anesthesia and Pain Management, Sir H. N. Reliance Foundation Hospital, Mumbai, Maharashtra, India
Hemant Mehta Department of Anesthesia and Pain Management, Sir H. N. Reliance Foundation Hospital, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20202286

Keywords:

Anesthetic management, Chronic thromboembolic pulmonary hypertension, Pulmonary endarterectomy, Reperfusion pulmonary edema

Abstract

Pulmonary endarterectomy (PEA) is a potentially curative procedure for chronic thromboembolic pulmonary hypertension. A 34-year Indian male presented with supra-systemic pulmonary pressure was taken for PEA after achievable optimization. A successful PEA was performed with the help of total cardiac arrest. Patient developed reperfusion pulmonary edema post operatively, which was managed medically. The problems encountered by anesthesiologists in this case were preoperative pulmonary hypertension with chronic hypoxia and postoperative management of reperfusion pulmonary edema.

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