• Natalia Diaz-Rodriguez, Sinead M Nyhan, Todd M Kolb, and Jochen Steppan.
• Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, MD.
• J. Cardiothorac. Vasc. Anesth. 2022 Jun 1; 36 (6): 1540-1548.

AbstractPulmonary hypertension (PH) is a disease that has many etiologies and is particularly prevalent in patients presenting for cardiac surgery, with which it is linked to poor outcomes. This manuscript is intended to provide a comprehensive review of the impact of PH on the perioperative management of patients who are undergoing cardiac surgery. The diagnosis of PH often involves a combination of noninvasive and invasive testing, whereas preoperative optimization frequently necessitates the use of specific medications that affect anesthetic management of these patients. The authors postulate that a thoughtful, multidisciplinary approach is required to deliver excellent perioperative care. Furthermore, they use an index case to illustrate the implications of managing a patient with pulmonary hypertension who presents for cardiac surgery with cardiopulmonary bypass.Copyright © 2021 Elsevier Inc. All rights reserved.

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