ISHLT consensus statement: Perioperative management of patients with pulmonary hypertension and right heart failure undergoing surgery

J Heart Lung Transplant. 2022 Sep;41(9):1135-1194. doi: 10.1016/j.healun.2022.06.013. Epub 2022 Jun 23.

Abstract

Pulmonary hypertension (PH) is a risk factor for morbidity and mortality in patients undergoing surgery and anesthesia. This document represents the first international consensus statement for the perioperative management of patients with pulmonary hypertension and right heart failure. It includes recommendations for managing patients with PH being considered for surgery, including preoperative risk assessment, planning, intra- and postoperative monitoring and management strategies that can improve outcomes in this vulnerable population. This is a comprehensive document that includes common perioperative patient populations and surgical procedures with unique considerations.

Keywords: anesthesia; congenital heart disease; pediatric pulmonary hypertension; pulmonary arterial hypertension; pulmonary hypertension; surgery.

Publication types

  • Editorial

MeSH terms

  • Consensus
  • Heart Failure* / complications
  • Heart Failure* / surgery
  • Humans
  • Hypertension, Pulmonary* / epidemiology
  • Hypertension, Pulmonary* / surgery
  • Risk Assessment
  • Risk Factors