Pulmonary hypertension is characterized by right ventricular impairment and a reduced ability to compensate for hemodynamic insults. Consequently, surgery can be challenging but is increasingly considered in view of available specific therapies and improved longer term survival. Optimal management requires a multidisciplinary patient-centered approach involving surgeons, anesthetists, pulmonary hypertension clinicians, and intensivists. The optimal pathway involves risk:benefit assessment for the proposed operation, optimization of pulmonary hypertension and any comorbidities, the appropriate anesthetic approach for the specific procedure and patient, and careful monitoring and management in the postoperative period. Where patients are carefully selected and meticulously managed, good outcomes can be achieved.

中文翻译：

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肺动脉高压患者的手术和麻醉

肺动脉高压的特征是右心室受损和补偿血流动力学损伤的能力降低。因此，手术可能具有挑战性，但鉴于可用的特定疗法和改善的长期生存，越来越多地考虑手术。最佳管理需要采用以患者为中心的多学科方法，涉及外科医生、麻醉师、肺动脉高压临床医生和重症监护医生。最佳路径涉及风险：拟定手术的效益评估、肺动脉高压和任何合并症的优化、针对特定手术和患者的适当麻醉方法，以及术后期间的仔细监测和管理。如果患者经过精心挑选和精心管理，就能取得良好的结果。