title: Intraoperative Monitoring of Pulmonary Artery Physiology With Transesophageal Echocardiography in a Patient With an Extensive Pulmonary Aneurysm Undergoing Partial Nephrectomy.
abstract: Surgical patients with pulmonary hypertension present a significant challenge to the anesthesiologist. Continuous perioperative monitoring of pulmonary artery (PA) pressure is recommended and most often accomplished with a PA catheter. Placement of a PA catheter may be difficult or contraindicated, and in these cases, transesophageal echocardiography is a useful alternative to monitor dynamic PA physiology. In this case, we used intraoperative transesophageal echocardiography to detect changes in peak PA pressure and guide clinical treatment in a patient with pulmonary hypertension and an extensive PA aneurysm undergoing partial nephrectomy.
authors: From the Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina.
authors: Michael J
authors: MJ
authors: Plakke
authors: Cory D
authors: CD
authors: Maxwell
authors: Brandi A
authors: BA
authors: Bottiger
mesh_terms: D000783:Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery; D017548:Echocardiography, Transesophageal / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000379:methods*; D009392:Nephrectomy / Q000009:adverse effects / Q000379:methods*; D011651:Pulmonary Artery / Q000000981:diagnostic imaging* / Q000601:surgery