• A & A case reports · Oct 2017

    Point-of-Care Ultrasonography to Assess Portal Vein Pulsatility and the Effect of Inhaled Milrinone and Epoprostenol in Severe Right Ventricular Failure: A Report of 2 Cases.

    • Jan-Alexis Tremblay, William Beaubien-Souligny, Mahsa Elmi-Sarabi, Georges Desjardins, and André Y Denault.
    • From the *Department of Medicine and †Department of Medicine, Division of Nephrology, Université de Montréal, ‡Department of Anesthesiology and Division of Critical Care, Montreal Heart Institute, and §Division of Critical Care, Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada.
    • A A Case Rep. 2017 Oct 15; 9 (8): 219-223.

    AbstractThis article describes 2 patients with severe acute right ventricular failure causing circulatory shock. Portal vein pulsatility assessed by bedside ultrasonography suggested clinically relevant venous congestion. Management included cardiac preload reduction and combined inhalation of milrinone and epoprostenol to reduce right ventricular afterload. Portal vein ultrasonography may be useful in assessing right ventricular function in the acutely ill patient.

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