ISHLT consensus statement: Perioperative management of patients with pulmonary hypertension and right heart failure undergoing surgery

Dana P. McGlothlin, John Granton, Walter Klepetko, Maurice Beghetti, Erika B. Rosenzweig, Paul A. Corris, Evelyn Horn, Manreet K. Kanwar, Karen McRae, Antonio Roman, Ryan Tedford, Roberto Badagliacca, Sonja Bartolome, Raymond Benza, Marco Caccamo, Rebecca Cogswell, Celine Dewachter, Laura Donahoe, Elie Fadel, Harrison W. Farber, Jeffrey Feinstein, Veronica Franco, Robert Frantz, Michael Gatzoulis, Choon Hwa (Anne) Goh, Marco Guazzi, Georg Hansmann, Stuart Hastings, Paul M. Heerdt, MD, Anna Hemnes, Antoine Herpain, Chih-Hsin Hsu, Kim Kerr, Nicholas A. Kolaitis, Jasleen Kukreja, Michael Madani, Stuart McCluskey, Michael McCulloch, Bernhard Moser, Manchula Navaratnam, G€oran Rådegran, Cara Reimer, Laurent Savale, Oksana A. Shlobin, Jana Svetlichnaya, Keith Swetz, Jessica Tashjian, Thenappan Thenappan, Carmine Dario Vizza, Shawn West, Warren Zuckerman, Andreas Zuckermann, Teresa De Marco
Kaiser Permanente San Francisco. University of Toronto. Medical University of Vienna. University of Geneva. Columbia University Medical Center and New York Presbyterian Hospital. Newcastle University. Cornell University. Allegheny Health Network. Hospital Universitari Vall d’Hebron. Medical University of South Carolina. Sapienza University of Rome. University of Texas Southwestern Medical Center. Ohio State University. West Virginia University. University of Minnesota Medical School. Hôpital Erasme. Hôpital Marie Lannelongue and Université Paris-Sud. Tufts Medical Center. Stanford University Medical Center and Lucile Packard Children’s Hospital. Mayo Clinic. Imperial College London. University of Milano and San Paolo Hospital. Hannover Medical School. Alfred Hospital and Monash University. Yale New Haven Hospital and Yale School of Medicine. Vanderbilt University Medical Center. National Cheng Kung University Hospital and National Cheng Kung University. University of California San Diego. University of California San Francisco. University of Virginia Children’s Hospital. Lund University, and Skåne University Hospital. Université Paris-Saclay. Inova Fairfax Hospital. University of Alabama at Birmingham School of Medicine. Children’s Hospital of Pittsburgh of UPMC. Columbia University and Morgan Stanley Children’s Hospital.
Multiple Countries

Journal of Heart and Lung Transplantation
J Heart Lung Transplant 2022; 41: 1135-1194
DOI: 10.1016/j.healun.2022.06.013

Abstract
Pulmonary hypertension (PH) is a risk factor for morbidity and mortality in patients undergoing surgery and anesthesia. This document represents the first international consensus statement for the perioperative management of patients with pulmonary hypertension and right heart failure. It includes recommendations for managing patients with PH being considered for surgery, including preoperative risk assessment, planning, intra- and postoperative monitoring and management strategies that can improve outcomes in this vulnerable population. This is a comprehensive document that includes common perioperative patient populations and surgical procedures with unique considerations.

Category
Consensus Guidelines for Pulmonary Vascular Disease
Procedural Risk and Care for Individuals with Pulmonary Vascular Disease
Diagnostic Testing for Pulmonary Vascular Disease. Risk Stratification

Age Focus: Pediatric Pulmonary Vascular Disease or Adult Pulmonary Vascular Disease

Fresh or Filed Publication: Filed (PHiled). Greater than 1-2 years since publication

Article Access
Free PDF File or Full Text Article Available Through PubMed or DOI: Yes

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