Abstract
The perioperative period is an extremely tenuous time for the pediatric patient with pulmonary arterial hypertension. This article will discuss a multidisciplinary approach to preoperative planning, the importance of early identification of pulmonary hypertensive crises, and practical strategies for postoperative management for this unique group of children.
Highlights
The perioperative period is an extremely tenuous time for patients with idiopathic pulmonary arterial hypertension (IPAH)
The American Heart Association (AHA)/American Thoracic Society (ATS) pediatric pulmonary hypertension guidelines emphasize the importance of preoperative planning for this high-risk group of patients [1]
Further distinction must be made between pulmonary arterial hypertension and Pulmonary hypertension is defined as a mean pulmonary arterial pressure >25 mm Hg
Summary
The perioperative period is an extremely tenuous time for patients with idiopathic pulmonary arterial hypertension (IPAH). Careful preoperative planning and meticulous postoperative management can mitigate the risks for this fragile group of patients. Postoperative management includes anticipation of pulmonary hypertensive complications, early recognition of the salient issues and prompt management. This article will discuss an approach to the management of pediatric pulmonary arterial hypertension in the perioperative period
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