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- Michael J Plakke, Cory D Maxwell, and Brandi A Bottiger.
- From the Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina.
- A A Case Rep. 2016 Sep 1; 7 (5): 108-11.
AbstractSurgical patients with pulmonary hypertension present a significant challenge to the anesthesiologist. Continuous perioperative monitoring of pulmonary artery (PA) pressure is recommended and most often accomplished with a PA catheter. Placement of a PA catheter may be difficult or contraindicated, and in these cases, transesophageal echocardiography is a useful alternative to monitor dynamic PA physiology. In this case, we used intraoperative transesophageal echocardiography to detect changes in peak PA pressure and guide clinical treatment in a patient with pulmonary hypertension and an extensive PA aneurysm undergoing partial nephrectomy.
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