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KMID : 0356920080540040473
Korean Journal of Anesthesiology
2008 Volume.54 No. 4 p.473 ~ p.476
Anesthetic Management in a Patient with Severe Primary Pulmonary Hypertension with Right Ventricular Dysfunction -A case report -
Choi Yong-Seon

Nam Soon-Ho
Choi Yong-Seok
Kwak Young-Lan
Abstract
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.
KEYWORD
primary pulmonary hypertension, right ventricular failure, selective pulmonary vasodilators
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