Journal
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA
Volume 36, Issue 3, Pages 667-676Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1053/j.jvca.2021.02.055
Keywords
pulmonary hypertension; children; surgery
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Pediatric pulmonary hypertension is a common disease in childhood, with diagnosis and treatment relying on various testing methods and expert opinions. Perioperative care requires a multidisciplinary approach.
Pediatric pulmonary hypertension is a disease that has many etiologies and can present anytime during childhood. Its newly revised hemodynamic definition follows that of adult pulmonary hypertension: a mean pulmonary artery pressure >20 mmHg However, the pediatric definition stipulates that the elevated pressure must be present after the age of three months. The definition encompasses many different etiologies, and diagnosis often involves a combination of noninvasive and invasive testing. Treatment often is extrapolated from adult studies or based on expert opinion. Moreover, although general anesthesia may be required for pediatric patients with pulmonary hypertension, it poses certain risks. A thoughtful, multidisciplinary approach is needed to deliver excellent perioperative care. (C) 2021 Elsevier Inc. All rights reserved.
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