The use of inhaled aerosolized prostacyclin (IAP) in the treatment of pulmonary hypertension secondary to pulmonary embolism

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Abstract
To describe the use of inhaled aerosolized prostacyclin (IAP) in a patient with life-threatening pulmonary hypertension secondary to pulmonary embolism and to discuss the possible use of inhaled prostacyclin in the management of pulmonary embolism. Case report. Intensive care unit of a university teaching hospital. One patient with severe pulmonary hypertension secondary to acute-on-chronic pulmonary embolism. Conventional medical management of massive pulmonary embolism and inhaled aerosolized prostacyclin (IAP). Description of clinical course, haemodynamic data and gas exchange data. We describe a patient with massive pulmonary embolism for whom the addition of IAP to his therapy appeared to result in a transient improvement in pulmonary haemodynamics and gas exchange.