Inhaled nitric oxide for acute right-ventricular dysfunction after extrapleural pneumonectomy.
Increased pulmonary vascular pressure and decreased right-ventricular performance may occur following pneumonectomy. Inhaled nitric oxide decreases right-ventricular afterload and improves cardiac index by selectively decreasing pulmonary vascular resistance without causing systemic hypotension. We report the use of inhaled nitric oxide in a patient with acute right-ventricular dysfunction after extrapleural pneumonectomy.
Fernández-Pérez
Evans R
ER
Division of Pulmonary and Critical Care Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota 55095, USA.
Keegan
Mark T
MT
Harrison
Barry A
BA
D000328:Adult; D004837:Epinephrine / Q000627:therapeutic use; D005260:Female; D006801:Humans; D001239:Inhalation; D008175:Lung Neoplasms / Q000601:surgery; D008654:Mesothelioma / Q000601:surgery; D009569:Nitric Oxide / Q000008:administration & dosage / Q000627:therapeutic use*; D011013:Pneumonectomy / Q000009:adverse effects*; D011183:Postoperative Complications / Q000628:therapy*; D018497:Ventricular Dysfunction, Right / Q000209:etiology / Q000628:therapy*
D009569:Nitric Oxide; D004837:Epinephrine