Pulmonary arterial hypertension crisis caused by ketamine administration during transcatheter occlusion for ventricular septal defect in children with congenital heart diseases: a report of 2 cases

2010 ◽  
Vol 30 (10) ◽  
pp. 1160-1160
Author(s):  
Zhu-hua ZHANG ◽  
Shui-xiang YIN ◽  
Xiao-qiao LIU ◽  
Hua FANG ◽  
Jian-ping ZHANG
ESC CardioMed ◽  
2018 ◽  
pp. 2537-2540
Author(s):  
Margarita Brida ◽  
Gerhard-Paul Diller ◽  
Michael A. Gatzoulis

Pulmonary arterial hypertension (PAH) is commonly associated with congenital heart disease (CHD) and relates to the type of the underlying defects and repair strategies. Large pulmonary shunts may develop PAH if untreated or repaired late. PAH, when present, markedly increases morbidity and mortality in CHD patients. Significant progress has been made for patients with Eisenmenger syndrome in pathophysiology, prognostication, and disease-targeting therapy. Patients with PAH-CHD and left-to-right shunting may benefit from late defect closure if pulmonary vascular resistance is normal or near normal. Patients with PAH-CHD and coincidental defects and also patients with previous repair of CHD should be managed as those with idiopathic PAH. All patients with PAH-CHD should be cared for at expert centres and those with Eisenmenger syndrome benefit from a proactive disease-targeting therapy approach. More research in this growing cardiovascular field is clearly warranted.


ESC CardioMed ◽  
2018 ◽  
pp. 2537-2540
Author(s):  
Margarita Brida ◽  
Gerhard-Paul Diller ◽  
Michael A. Gatzoulis

Pulmonary arterial hypertension (PAH) is commonly associated with congenital heart disease (CHD) and relates to the type of the underlying defects and repair strategies. Large pulmonary shunts may develop PAH if untreated or repaired late. PAH, when present, markedly increases morbidity and mortality in CHD patients. Significant progress has been made for patients with Eisenmenger syndrome in pathophysiology, prognostication, and disease-targeting therapy. Patients with PAH-CHD and left-to-right shunting may benefit from late defect closure if pulmonary vascular resistance is normal or near normal. Patients with PAH-CHD and coincidental defects and also patients with previous repair of CHD should be managed as those with idiopathic PAH. All patients with PAH-CHD should be cared for at expert centres and those with Eisenmenger syndrome benefit from a proactive disease-targeting therapy approach. More research in this growing cardiovascular field is clearly warranted.


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