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Chapter 68 - Pulmonary Hypertension in Children

Published online by Cambridge University Press:  30 November 2019

By
Yang Liu
Edited by
Adam C. Adler ,
Arvind Chandrakantan  and
Ronald S. Litman
Adam C. Adler
Affiliation:
Texas Children's Hospital
Arvind Chandrakantan
Affiliation:
Texas Children's Hospital
Ronald S. Litman
Affiliation:
The Children's Hospital of Philadelphia
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Summary

In this chapter, the author discussed the pathophysiology and diagnosis of pulmonary hypertension. The major classifications of pulmonary hypertension are reviewed as well as the current medical management options by pathway effected. The Electrocardiographic and echocardiographic findings in pulmonary hypertension are discussed in relation to severity of illness. The anesthetic considerations necessary in patients with severe pulmonary hypertension are presented.

Keywords

pulmonary hypertensionpatent ductus arteriosuspulmonary vascular resistancecongenital heart diseasepulmonary hypertensive crisisphosphodiesterase inhibitorsNitric OxideEndothelin receptor blockerProstacyclin
Type
Chapter
Information
Case Studies in Pediatric Anesthesia , pp. 310 - 314
Publisher: Cambridge University Press
Print publication year: 2019

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References

Suggested Reading

Abman, SH, Hansmann, G, Archer, SL, et al. Pediatric pulmonary hypertension: guidelines from the American Heart Association and American Thoracic Society. Circulation. 2015;132(21):2037–99. PMID: 26534956.CrossRefGoogle ScholarPubMed
Berger, RM, Beghetti, M, Humpl, T, et al. Clinical features of paediatric pulmonary hypertension: a registry study. Lancet. 2012;379(9815):537–46. PMID: 22240409.CrossRefGoogle ScholarPubMed
Berger, S, Konduri, GG. Pulmonary hypertension in children: the twenty-first century. Pediatr Clin North Am. 2006;53(5):961–87. PMID: 17027619.CrossRefGoogle ScholarPubMed
Carmosino, MJ, Friesen, RH, Doran, A, et al. Perioperative complications in children with pulmonary hypertension undergoing noncardiac surgery or cardiac catheterization. Anesth Analg. 2007;104(3):521–7.CrossRefGoogle ScholarPubMed
Ivy, DD, Abman, SH, Barst, RJ, et al. Pediatric pulmonary hypertension. J Am Coll Cardiol. 2013 Dec 24;62(25 Suppl):D117–26. PMID: 24355636.CrossRefGoogle ScholarPubMed
Stayer, SA, Liu, Y. Pulmonary hypertension of the newborn. Best Pract Res Clin Anaesthesiol. 2010;24(3):375–86. PMID: 21033014.Google Scholar

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