Severe pulmonary hypertension for elective surgery.

Pt is 73yo M with severe pulm htn scheduled for hernia repair. Pt has hx of COPD, CAD, and a-fib. Heart cath from a month ago shows pulmonary artery pressure in the 60s and about 60% stenosis of LAD that did not meet criteria for intervention. Echo showed nl LV EF, moderate TR, and severe pulm HTN. Pt can climb a flight of stair, but occasionally uses 2L O2 at home. Pt went to see cardiologist prior to procedure, who wrote a note saying patient is at high risk for general anesthesia and... Severe pulmonary hypertension for elective surgery.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Source Type: forums