Author/Authors :
KHAN, SAFDAR A. Combined Military Hospital - Department of Cardiac and General Anaesthesia, Pakistan , KHAN, M. AAMIR Combined Military Hospital - Department of Cardiac and General Anaesthesia, Pakistan , SHAHAB NAQVI, S. M. Armed Forces Institute of Cardiology and National Institute of Heart Diseases - Department of Anesthesiology and Intensive Care, Pakistan
Abstract :
Pulmonary hypertension is a common occurrence in many congenital heart diseases and the status of the pulmonary vascular bed is the major determinant of clinical manifestations, course, feasibility and out-come of corrective surgery. The prognosis of pulmonary hypertension depends mostly on its cause and the stage of pulmonary vascular disease the child is having at the time of diagnosis. However it is unclear why one child behaves differently from another with what seem to be the same degree of pulmonary hypertension. Despite this, with better insight into pathophysiology and introduction of newer vasodilator, management of these patients has significantly improved over past decades.
