title: [Sildenafil improves right ventricular function in a cardiac transplant recipient].
abstract: We report the case of a male patient who underwent orthotopic cardiac transplantation. A marginal donor was used, because the recipient's clinical condition was critical. He experienced cardiogenic shock due to right ventricular dysfunction secondary to pulmonary hypertension associated with vasoplegia. After the introduction of sildenafil, the patient recovered hemodynamically, his pulmonary vascular resistance decreased, the vasoactive drugs were withdrawn, and his right ventricular function improved.
authors.affiliation: Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP. rppaez@yahoo.com.br
authors.forename: Rodrigo Pereira
authors.initials: RP
authors.lastname: Paez
authors.forename: Wesley Ferreira
authors.initials: WF
authors.lastname: Araujo
authors.forename: Nelson Americo
authors.initials: NA
authors.lastname: Hossne
authors.forename: Ana Lucia
authors.initials: AL
authors.lastname: Neves
authors.forename: Guilherme Flora
authors.initials: GF
authors.lastname: Vargas
authors.forename: Luciano de Figueiredo
authors.initials: Lde F
authors.lastname: Aguiar
authors.forename: João Nelson Rodrigues
authors.initials: JN
authors.lastname: Branco
authors.forename: Roberto
authors.initials: R
authors.lastname: Catani
authors.forename: Enio
authors.initials: E
authors.lastname: Buffolo
mesh_terms: D000328:Adult; D016027:Heart Transplantation; D006801:Humans; D006976:Hypertension, Pulmonary / Q000188:drug therapy*; D008297:Male; D010879:Piperazines / Q000627:therapeutic use*; D011687:Purines; D000068677:Sildenafil Citrate; D013450:Sulfones; D014655:Vascular Resistance / Q000187:drug effects / Q000502:physiology; D014665:Vasodilator Agents / Q000627:therapeutic use*; D016278:Ventricular Function, Right / Q000187:drug effects* / Q000502:physiology
chemical_list: D010879:Piperazines; D011687:Purines; D013450:Sulfones; D014665:Vasodilator Agents; D000068677:Sildenafil Citrate