Anesthesia for pulmonary endarterectomy.

  title={Anesthesia for pulmonary endarterectomy.},
  author={Gerard R. Manecke},
  journal={Seminars in thoracic and cardiovascular surgery},
  volume={18 3},
Anesthetic care for patients undergoing pulmonary endarterectomy represents one of the most challenging tasks in cardiac anesthesia. Chronic thromboembolic pulmonary hypertension with its concomitant right ventricular failure may cause hemodynamic instability during anesthetic induction and the precardiopulmonary bypass (CPB) period, and the associated comorbidities (pulmonary, hepatic) may affect the actions and metabolism of anesthetic drugs. During the CPB period, proper perfusion patterns… CONTINUE READING