Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
, 10 (1), e2072

Focused Review of Perioperative Care of Patients With Pulmonary Hypertension and Proposal of a Perioperative Pathway


Focused Review of Perioperative Care of Patients With Pulmonary Hypertension and Proposal of a Perioperative Pathway

Jochen Steppan et al. Cureus.


Morbidity and mortality risk increase considerably for patients with pulmonary hypertension (PH) undergoing non-cardiac surgery. Unfortunately, there are no comprehensive, evidence-based guidelines for perioperative evaluation and management of these patients. We present a brief review of the literature on perioperative outcomes for patients with PH and describe the implementation of a collaborative perioperative management program for these high-risk patients at a tertiary academic center.

Keywords: high risk surgery; perioperative management; pulmonary arterial hypertension; pulmonary hypertension; surgical home.

Conflict of interest statement

The authors have declared that no competing interests exist.


Figure 1
Figure 1. Program structure
The pulmonary hypertension Perioperative Director receives consults and referrals from the Johns Hopkins Hypertension Program, the Preoperative Evaluation Center, the anesthesia scheduler, or the surgeons and coordinates perioperative care with all the stakeholders. ECMO: extracorporeal membrane oxygenation; PH: pulmonary hypertension

Similar articles

See all similar articles

Cited by 1 PubMed Central articles


    1. Pulmonary arterial hypertension: baseline characteristics from the REVEAL Registry. Badesch DB, Raskob GE, Elliott CG, et al. Chest. 2010;137:376–387. - PubMed
    1. Survival in patients with idiopathic, familial, and anorexigen-associated pulmonary arterial hypertension in the modern management era. Humbert M, Sitbon O, Chaouat A, et al. Circulation. 2010;122:156–163. - PubMed
    1. Definitions and diagnosis of pulmonary hypertension. Hoeper MM, Bogaard HJ, Condliffe R, et al. J Am Coll Cardiol. 2013;62:42–50. - PubMed
    1. Updated clinical classification of pulmonary hypertension. Simonneau G, Gatzoulis MA, Adatia I, et al. J Am Coll Cardiol. 2013;62:34–41. - PubMed
    1. Noncardiothoracic nonobstetric surgery in mild-to-moderate pulmonary hypertension. Price LC, Montani D, Jais X, Dick JR, Simonneau G, Sitbon O, Mercier FJ, Humbert M. Eur Respir J. 2010;35:1294–1302. - PubMed

LinkOut - more resources