Abstract
SURGICAL PATIENTS with dilated cardiomyopathy present a considerable challenge for perioperative management. Those undergoing pulmonary resection surgery are uniquely challenging. Effects of lung isolation and one-lung ventilation (OLV), patient positioning, and contraction of the pulmonary vascular bed may further complicate anesthetic management in patients with severe ventricular or biventricular dysfunction. Although general anesthesia and mechanical ventilation exert potentially profound effects on the cardiovascular system, these factors usually are well tolerated by patients with normal cardiovascular function.
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