The Anesthetic Challenges of Lung Biopsy–Associated Intrathoracic Hemorrhage in a Child With Suprasystemic Pulmonary Hypertension

Children with suspected pulmonary hypertension must undergo extensive and invasive evaluations to establish a definitive diagnosis. A previously healthy 4-year old girl, newly diagnosed with suprasystemic pulmonary hypertension required multiple lung biopsies. Each procedure was associated with significant bleeding. The challenging anesthetic management of lung biopsy in the presence of suprasystemic pulmonary hypertension is described.