title: Use of nitric oxide in thoracic surgery for a high risk cardiac patient.
abstract: Nitric oxide (NO) is a selective pulmonary vasodilator especially in the presence of pulmonary artery hypertension. With right ventricle (RV) dysfunction, inhaled NO may increase RV ejection fraction and cardiac output. The main advantage of NO over intravenous therapy is its inability to decrease systemic pressure thereby maintaining the coronary perfusion pressure and the myocardial perfusion. In this case report, we discuss the use of NO in a routine thoracic surgery patient suffering with severe left ventricular dysfunction and a potential candidate for a very high cardiac risk.
authors.affiliation: Department of Cardiothoracic and Transplant Anaesthesia, Freeman Hospital, Newcastle Upon Tyne, United Kingdom.
authors.forename: Vishal
authors.initials: V
authors.lastname: Garg
authors.forename: Sameena
authors.initials: S
authors.lastname: Ahmed
authors.forename: Steven
authors.initials: S
authors.lastname: Stamenkovic
mesh_terms: D000368:Aged; D006801:Humans; D008168:Lung / Q000601:surgery; D008297:Male; D009569:Nitric Oxide / Q000627:therapeutic use*; D061810:One-Lung Ventilation; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D014463:Ultrasonography; D014665:Vasodilator Agents / Q000627:therapeutic use*; D018487:Ventricular Dysfunction, Left / Q000150:complications* / Q000000981:diagnostic imaging
chemical_list: D014665:Vasodilator Agents; D009569:Nitric Oxide