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A retrospective comparison of inhaled milrinone and iloprost in post-bypass pulmonary hypertension.
Heart Vessels
December 2017
Department of Anesthesiology, Onassis Cardiac Surgery Center, Athens, Greece.
During cardiac operations, weaning from cardiopulmonary bypass (CPB) may prove challenging as a result of superimposed acute right ventricular dysfunction in the setting of elevated pulmonary vascular resistance (PVR). The aim of this study was to retrospectively evaluate the effect of inhaled milrinone versus inhaled iloprost in patients with persistent pulmonary hypertension following discontinuation of CPB. Eighteen patients with elevated PVR post-bypass were administered inhaled milrinone at a cumulative dose of 50 μg kg.
View Article and Find Full Text PDFRefractory hypoxemia caused by hepatopulmonary syndrome: a case report.
J Med Case Rep
December 2014
Department of Pediatrics and Communicable Diseases, C,S, Mott Children's Hospital, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, MI, USA.
Introduction: Hepatopulmonary syndrome is a clinical syndrome that can affect patients of all ages with liver disease and is more common in children with biliary atresia. Contrast echocardiography is the test of choice to diagnose the presence of intrapulmonary vascular dilatation. The established treatment for hepatopulmonary syndrome is liver transplantation.
View Article and Find Full Text PDF[Perioperative management of a patient with anomalous origin of the left coronary artery from the pulmonary artery].
Masui
October 2013
Department of Anesthesiology, Keio University School of Medicine, Tokyo 160-8582.
Anomalous origin of the left coronary artery from the pulmonary artery is a rare congenital disease, also known as Bland-White-Garland (BWG) syndrome. Mitral valve regurgitation secondary to papillary muscle dysfunction due to myocardial ischemia and progressive left ventricular dysfunction are major clinical manifestations of BWG syndrome. We report perioperative management of a five-year-old patient with BWG syndrome who underwent the Takeuchi procedure making an intrapulmonary baffle using anterior pulmonary artery wall.
View Article and Find Full Text PDFComparison of inhaled and intravenous milrinone in patients with pulmonary hypertension undergoing mitral valve surgery.
Adv Ther
April 2009
Department of Anesthesiology, Second Affiliated Hospital, Zhejiang University, Hangzhou, China.
Introduction: Increased pulmonary vascular resistance (PVR) is detrimental to cardiac output in postoperative cardiac-surgery patients. The aim of this study was to investigate the postoperative hemodynamic effects of milrinone inhalation, and determine whether it has a selective effect of pulmonary vasodilation in patients with pulmonary hypertension undergoing mitral valve replacement surgery.
Methods: In this study, 48 patients with pulmonary hypertension who underwent mitral valve replacement surgery were included.
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