Inhaled Nitric Oxide for Acute Right-Ventricular Dysfunction After Extrapleural Pneumonectomy

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Abstract:

Increased pulmonary vascular pressure and decreased right-ventricular performance may occur following pneumonectomy. Inhaled nitric oxide decreases right-ventricular afterload and improves cardiac index by selectively decreasing pulmonary vascular resistance without causing systemic hypotension. We report the use of inhaled nitric oxide in a patient with acute right-ventricular dysfunction after extrapleural pneumonectomy.

Keywords: AFTERLOAD; CARDIAC INDEX; HYPOTENSION; INHALED NITRIC OXIDE; PNEUMONECTOMY; PULMONARY VASCULAR PRESSURE; PULMONARY VASCULAR RESISTANCE; VENTRICLE

Document Type: Case Report

Affiliations: 1: Division of Pulmonary and Critical Care Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota 2: Department of Anesthesiology, Mayo Clinic College of Medicine, Charlton 1145, 200 First Street SW, Rochester MN 55095;, Email: keegan.mark@mayo.edu 3: Department of Anesthesiology, Mayo Clinic College of Medicine, Jacksonville, Florida

Publication date: October 1, 2006

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