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

doi:10.1016/j.healun.2022.06.013

Editorial

. 2022 Sep;41(9):1135-1194.

doi: 10.1016/j.healun.2022.06.013. Epub 2022 Jun 23.

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

Dana P McGlothlin¹, John Granton², Walter Klepetko³, Maurice Beghetti⁴, Erika B Rosenzweig⁵, Paul A Corris⁶, Evelyn Horn⁷, Manreet K Kanwar⁸, Karen McRae², Antonio Roman⁹, Ryan Tedford¹⁰, Roberto Badagliacca¹¹, Sonja Bartolome¹², Raymond Benza¹³, Marco Caccamo¹⁴, Rebecca Cogswell¹⁵, Celine Dewachter¹⁶, Laura Donahoe², Elie Fadel¹⁷, Harrison W Farber¹⁸, Jeffrey Feinstein¹⁹, Veronica Franco¹³, Robert Frantz²⁰, Michael Gatzoulis²¹, Choon Hwa Anne Goh²², Marco Guazzi²³, Georg Hansmann²⁴, Stuart Hastings²⁵, Paul M Heerdt²⁶, Anna Hemnes²⁷, Antoine Herpain¹⁶, Chih-Hsin Hsu²⁸, Kim Kerr²⁹, Nicholas A Kolaitis³⁰, Jasleen Kukreja³⁰, Michael Madani²⁹, Stuart McCluskey², Michael McCulloch³¹, Bernhard Moser³, Manchula Navaratnam¹⁹, Göran Rådegran³², Cara Reimer², Laurent Savale³³, Oksana A Shlobin³⁴, Jana Svetlichnaya²², Keith Swetz³⁵, Jessica Tashjian²², Thenappan Thenappan¹⁵, Carmine Dario Vizza¹¹, Shawn West³⁶, Warren Zuckerman³⁷, Andreas Zuckermann³, Teresa De Marco³⁰

Affiliations

¹ Kaiser Permanente San Francisco, San Francisco, California. Electronic address: dana.p.mcglothlin@kp.org.
² University of Toronto, Toronto, Ontario, Canada.
³ Medical University of Vienna, Vienna, Austria.
⁴ Children's University of Geneva, University of Geneva, Geneva, Switzerland.
⁵ Columbia University Medical Center, New York Presbyterian Hospital, New York, New York.
⁶ Newcastle University, Newcastle upon Tyne, UK.
⁷ Weill Cornell Graduate School of Medical Sciences, Cornell University, New York, New York.
⁸ Allegheny Health Network, Pittsburgh, Pennsylvania.
⁹ Hospital Universitari Vall d'Hebron, Barcelona, Spain.
¹⁰ Medical University of South Carolina, Charleston, South Carolina.
¹¹ Sapienza University of Rome, Rome, Italy.
¹² University of Texas Southwestern Medical Center, Dallas, Texas.
¹³ Ohio State University, Columbus, Ohio.
¹⁴ West Virginia University, Morgantown, West Virginia.
¹⁵ University of Minnesota Medical School, Minneapolis, Minnesota.
¹⁶ Hôpital Erasme, Brussels, Belgium.
¹⁷ Hôpital Marie Lannelongue and Université Paris-Sud, Paris, France.
¹⁸ Tufts Medical Center, Boston, Massachusetts.
¹⁹ Stanford University Medical Center, Lucile Packard Children's Hospital, Palo Alto, California.
²⁰ Mayo Clinic, Rochester, Minnesota.
²¹ Royal Brompton and Harefield NHS Trust, and the National Heart and Lung Institute, Imperial College London, London, UK.
²² Kaiser Permanente San Francisco, San Francisco, California.
²³ San Paolo Hospital, University of Milano, Milano, Italy.
²⁴ Hannover Medical School, Hannover, Germany.
²⁵ Alfred Hospital and Monash University, Melbourne, Victoria, Australia.
²⁶ Yale New Haven Hospital and Yale School of Medicine, New Haven, Connecticut.
²⁷ Vanderbilt University Medical Center, Nashville, Tennessee.
²⁸ National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
²⁹ University of California San Diego, San Diego, California.
³⁰ University of California San Francisco, San Francisco, California.
³¹ University of Virginia Children's Hospital, Charottsville, VA.
³² Lund University, and Skåne University Hospital, Lund, Sweden.
³³ Université Paris-Saclay; INSERM UMR_S 999; Assistance Publique Hôpitaux de Paris Hôpital Bicêtre, Hôpital Marie Lannelongue, Le Plessis Robinson, France.
³⁴ Inova Fairfax Hospital, Falls Church, Virginia.
³⁵ University of Alabama at Birmingham School of Medicine, Birmingham, Alabama.
³⁶ Children's Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania.
³⁷ Columbia University Medical Center, Morgan Stanley Children's Hospital of New York, New York, New York.

PMID: 36123001
DOI: 10.1016/j.healun.2022.06.013

Editorial

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

Dana P McGlothlin et al. J Heart Lung Transplant. 2022 Sep.

. 2022 Sep;41(9):1135-1194.

doi: 10.1016/j.healun.2022.06.013. Epub 2022 Jun 23.

Authors

Affiliations

¹ Kaiser Permanente San Francisco, San Francisco, California. Electronic address: dana.p.mcglothlin@kp.org.
² University of Toronto, Toronto, Ontario, Canada.
³ Medical University of Vienna, Vienna, Austria.
⁴ Children's University of Geneva, University of Geneva, Geneva, Switzerland.
⁵ Columbia University Medical Center, New York Presbyterian Hospital, New York, New York.
⁶ Newcastle University, Newcastle upon Tyne, UK.
⁷ Weill Cornell Graduate School of Medical Sciences, Cornell University, New York, New York.
⁸ Allegheny Health Network, Pittsburgh, Pennsylvania.
⁹ Hospital Universitari Vall d'Hebron, Barcelona, Spain.
¹⁰ Medical University of South Carolina, Charleston, South Carolina.
¹¹ Sapienza University of Rome, Rome, Italy.
¹² University of Texas Southwestern Medical Center, Dallas, Texas.
¹³ Ohio State University, Columbus, Ohio.
¹⁴ West Virginia University, Morgantown, West Virginia.
¹⁵ University of Minnesota Medical School, Minneapolis, Minnesota.
¹⁶ Hôpital Erasme, Brussels, Belgium.
¹⁷ Hôpital Marie Lannelongue and Université Paris-Sud, Paris, France.
¹⁸ Tufts Medical Center, Boston, Massachusetts.
¹⁹ Stanford University Medical Center, Lucile Packard Children's Hospital, Palo Alto, California.
²⁰ Mayo Clinic, Rochester, Minnesota.
²¹ Royal Brompton and Harefield NHS Trust, and the National Heart and Lung Institute, Imperial College London, London, UK.
²² Kaiser Permanente San Francisco, San Francisco, California.
²³ San Paolo Hospital, University of Milano, Milano, Italy.
²⁴ Hannover Medical School, Hannover, Germany.
²⁵ Alfred Hospital and Monash University, Melbourne, Victoria, Australia.
²⁶ Yale New Haven Hospital and Yale School of Medicine, New Haven, Connecticut.
²⁷ Vanderbilt University Medical Center, Nashville, Tennessee.
²⁸ National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
²⁹ University of California San Diego, San Diego, California.
³⁰ University of California San Francisco, San Francisco, California.
³¹ University of Virginia Children's Hospital, Charottsville, VA.
³² Lund University, and Skåne University Hospital, Lund, Sweden.
³³ Université Paris-Saclay; INSERM UMR_S 999; Assistance Publique Hôpitaux de Paris Hôpital Bicêtre, Hôpital Marie Lannelongue, Le Plessis Robinson, France.
³⁴ Inova Fairfax Hospital, Falls Church, Virginia.
³⁵ University of Alabama at Birmingham School of Medicine, Birmingham, Alabama.
³⁶ Children's Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania.
³⁷ Columbia University Medical Center, Morgan Stanley Children's Hospital of New York, New York, New York.

PMID: 36123001
DOI: 10.1016/j.healun.2022.06.013

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.

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

Affiliations

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

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