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Anesth Essays Res. 2010 Jan-Jun;4(1):38-40. doi: 10.4103/0259-1162.69309.

Right hemicolectomy in a patient with severe pulmonary hypertension anesthesia approach.

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King Fahad Medical City, PO Box 59046, Riyadh 11525, Saudi Arabia.


A 59-year-old obese female patient was diagnosed to be having severe pulmonary hypertension secondary to mixed connective tissue disease and pulmonary fibrosis. She presented for right hemi-colectomy for a large right-sided colonic polypoid mass and multiple polyps diagnosed by colonoscopy. Her surgery was postponed by 2 months by the anesthesiologist due to dyspnea at rest and high pulmonary artery pressure (70-80 mmHg) for further optimization of medical treatment. After 2 months, she was adequately fit enough to undergo surgery. High lumbar epidural anesthesia was adopted and weaned off. She was discharged after 5 days of surgery from the hospital without any sequel. This report presents the merits and recommendations for such patients.


Pulmonary hypertension; epidural block; hemicolectomy; severe

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