Related Experiment Video
Updated: Feb 3, 2026
10:03
Evaluation of Right Ventricular Function in Experimental Models of Pulmonary Arterial Hypertension
Published on: June 27, 2025
786
Laparoscopic Rectopexy in a Patient With Pulmonary Hypertension Associated With Scleroderma: A Case Report
Olivier Montandrau1, Paola Mascitti1, Cécile Boucau1
1From the Departments of Anesthesia.
A&A Practice
|October 30, 2018
Summary
Managing pulmonary hypertension during laparoscopic surgery requires careful planning. New treatments improve patient outcomes, emphasizing the need for expert preoperative assessment and multidisciplinary care.
Area of Science:
- Cardiology
- Anesthesiology
- Surgical Management
Background:
- Pulmonary hypertension (PH) management has advanced with new-generation therapies.
- Laparoscopic surgery presents unique perioperative challenges for PH patients.
Observation:
- A patient with PH on advanced treatments underwent laparoscopic surgery.
- Standard monitoring plus arterial catheter, central venous line, and transesophageal echocardiography were used.
- Inhaled nitric oxide was administered to manage right heart pressures during Trendelenburg positioning and pneumoperitoneum.
Findings:
- The laparoscopic procedure was completed successfully in under 2 hours.
- No intraoperative complications were observed.
- The patient's pulmonary hypertension was managed effectively throughout the surgery.
Implications:
- Perioperative care for PH patients undergoing surgery is evolving with new treatments.
- Multidisciplinary collaboration and thorough preoperative assessment are crucial for optimizing surgical outcomes in PH patients.
- This case highlights the feasibility of managing complex PH patients during minimally invasive surgery.
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