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The Perioperative Medicine Consult Handbook pp 179–184Cite as

Pulmonary Hypertension

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Abstract

Pulmonary hypertension (PH) confers increased risk of perioperative morbidity and mortality for patients undergoing noncardiac surgery. Surgery in patients with PH can result in hypoxia, hypercapnia, and volume shifts exacerbating the underlying pulmonary hypertension, leading to acute right ventricular failure. Pathophysiologic effects may quickly spiral out of control as pulmonary pressures rise, causing worsening cardiac output, systemic hypotension, cardiac ischemia, and ultimately death.

Management of patients with pulmonary hypertension undergoing cardiac surgery is a complex subject outside the scope of this chapter. Consultation with a cardiac anesthesiologist is recommended in such cases.

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Author information

Authors and Affiliations

  1. Division of General Internal Medicine, Department of Medicine, University of Washington, Seattle, WA, USA

    Brian S. Porter M.D.

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  1. Brian S. Porter M.D.
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Correspondence to Brian S. Porter M.D. .

Editor information

Editors and Affiliations

  1. Division of General Internal Medicine Department of Medicine, University of Washington Medical Center, Seattle, WA, USA

    Molly Blackley Jackson , Somnath Mookherjee  & Nason P. Hamlin ,  & 

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Porter, B.S. (2015). Pulmonary Hypertension. In: Jackson, M.B., Mookherjee, S., Hamlin, N.P. (eds) The Perioperative Medicine Consult Handbook. Springer, Cham. https://doi.org/10.1007/978-3-319-09366-6_30

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  • DOI: https://doi.org/10.1007/978-3-319-09366-6_30

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-09365-9

  • Online ISBN: 978-3-319-09366-6

  • eBook Packages: MedicineMedicine (R0)

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