Perioperative management of congenital heart disease complicated with severe pulmonary artery hypertension in plateau areas

AIM:To explore the perioperative management of severe pulmonary artery hypertension (PAH) of congenital heart disease to decrease complication ratio and mortality in plateau areas and evaluate the treatment effect of inhaled nitric oxide (iNO). METHODS: Clinical data such as heart rate, mean arterial blood pressure, central venous pressure, pulmonary dynamic compliance and oxygenation index of 31 patients treated with iNO from June 2009 to December 2012 were analyzed retrospectively. RESULTS: After perioperative management including iNO treatment, one patient died (3.25%) and pulmonary dynamic compliance and oxygenation index in the other 30 patients increased significantly (P<0.05). Average ultrasonic pulmonary artery pressure (SPAP) decreased significantly (P<0.05). CONCLUSION: Appropriate perioperative management and NO inhalation are effective in treatment of CHD patients with PAH in plateau areas.