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Recommended algorithm for perioperative management of patients with pulmonary arterial hypertension (PAH) secondary to congenital heart disease (CHD) in the setting of cardiac surgery. ECMO, extracorporeal membrane oxygenation; HTx, heart transplantation; iNO, inhaled nitric oxide; IV, intravenous; LTx, lung transplantation; PVD, pulmonary vascular disease; RHF, right heart failure. [Reproduced with permission from Brunner N, de Jesus Perez VA, Richter A, et al. Perioperative pharmacological management of pulmonary hypertensive crisis during congenital heart surgery. Pulm Circ Mar;4(1):10-24.] Source: Specialty Areas of Anesthetic Practice, Anesthesiology, 3e Citation: Longnecker DE, Mackey SC, Newman MF, Sandberg WS, Zapol WM. Anesthesiology, 3e; 2017 Available at: Accessed: October 25, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved
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