I inevitability hip replacement, but i hold pulmonery hypertention is this uncertain opereation?
Answer:
pulmonary hypertension increases your perioperative risk, but if it's not severe, i wouldn't be overly concerned. the best gauge of severity is exercise tolerance. if you can run up a flight of steps and not enjoy trouble breathing, i'd think your risks are minimal. however, if you entail supplemental oxygen just to receive out of bed, then your risk for morbidity and/or mortality is significantly superior.
keep within mind some diagnoses of "pulmonary hypertension" are somewhat spurious. sometimes, on echocardiography, they estimate pulmonary pressures based on flow, but those numbers can be incorrect.
Pulmonary hypertension puts you at high risk for ANY surgical procedure.
You will requirement to undergo an extensive cardiovascular workup, and will necessitate invasive monitoring to keep you locked. This will likely include a pulmonary artery catheter and an arterial chain., and may include transesophageal echocardiography. You may have to be put on infusions of heart medication to make your heart pump more strongly and your pulmonary vessel dilate.
Your orthopedic surgeon will have NO CLUE as to the problems that pulm htn cause during anesthesia. You should consult with the anesthesia department at your hospital very well in mortgage of your surgery.
You may need to spend time contained by an ICU after the procedure. It is also possible that your condition may make it too risky to do the procedure at adjectives. That cannot be known until you hold been evaluated.
Hip replacement carry risks even in otherwise vigorous people. There is the potential for a neutral amount of blood loss, and that can mess up your blood pressure and heart function.
Good luck.