• Robin Condliffe, Ruth Newton, Kris Bauchmuller, Tessa Bonnett, Robert Kerry, Alexa Mannings, Amanda Nair, Karen Selby, Paul P Skinner, Victoria J Wilson, and David G Kiely.
• Pulmonary Vascular Disease Unit, Royal Hallamshire Hospital, Sheffield, United Kingdom.
• Semin Respir Crit Care Med. 2023 Dec 1; 44 (6): 797809797-809.

AbstractPulmonary hypertension is characterized by right ventricular impairment and a reduced ability to compensate for hemodynamic insults. Consequently, surgery can be challenging but is increasingly considered in view of available specific therapies and improved longer term survival. Optimal management requires a multidisciplinary patient-centered approach involving surgeons, anesthetists, pulmonary hypertension clinicians, and intensivists. The optimal pathway involves risk:benefit assessment for the proposed operation, optimization of pulmonary hypertension and any comorbidities, the appropriate anesthetic approach for the specific procedure and patient, and careful monitoring and management in the postoperative period. Where patients are carefully selected and meticulously managed, good outcomes can be achieved.Thieme. All rights reserved.

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