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Case based discussions
Novel strategies for the management of right ventricular failure with pulmonary hypertension
  1. I C Meryon,
  2. P Marino
  1. National Pulmonary Hypertension Service, Adult Congenital Heart Centre and Centre for Pulmonary Hypertension, Royal Brompton & Harefield NHS Trust, London, UK
  1. Correspondence to Dr P Marino, National Pulmonary Hypertension Service, Adult Congenital Heart Centre and Centre for Pulmonary Hypertension, Royal Brompton & Harefield NHS Trust, Sydney Street, London, UK; p.marino{at}rbht.nhs.uk

Abstract

The authors report a case where four novel strategies were successfully used in the management of advanced right ventricular failure with severe pulmonary hypertension and complex adult congenital heart disease. These included combination and optimisation of three advanced therapies for pulmonary hypertension, therapeutic abdominal paracentesis, correction of underlying metabolic/endocrine disturbance and a new inotropic agent.

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Footnotes

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.