Case Report
Successful Use of Pulmonary Vasodilators in Acute Chest Syndrome Complicated by Persistent Right Ventricular Failure
Table 1
Hemodynamics on right heart catheterization nineteen months prior to hospitalization (baseline) in comparison to during acute chest syndrome (ACS).
| | Baseline | ACS |
| Mean right atrial pressure | 5 mmHg | 18 mmHg | Right ventricular pressure | 40/3 mmHg | 89/10 mmHg | Pulmonary artery pressure (mean) | 42/16 (25) mmHg | 95/46 (58) mmHg | Pulmonary capillary wedge pressure | 6 mmHg | 10 mmHg | Pulmonary vascular resistance | 3.9 Wood units | 13.6 Wood units | Cardiac output by thermodilution | 4.83 L/min | 3.53 L/min | Cardiac index by thermodilution | 2.57 L/min/m2 | 1.86 L/min/m2 | Arterial oxygen saturation | 97% | 98% | Pulmonary artery oxygen saturation | 69% | 53% | Hemoglobin | 12.4 g/dL | 10.6 g/dL |
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