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Real members of myPHteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

Can you have Anastasia with surgery when you have PAH and take Adempas

A myPHteam Member asked a question 💭
Fort Collins, CO
October 16, 2025
 · 
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A myPHteam Member

Anesthesia can actually be very high risk for people with PH. Be certain to get clearance from your PH specialist as well as your cardiologist. Be certain you are in a hospital setting, not just a surgicenter so that you have cardiologists available just in case. And have a long talk with the anesthesiologist beforehand to be certain they really understand how anesthesia can affect the right ventricle and other considerations for PH patients.

We have had posters here tell about rather dire consequences when they had anesthesia.

And don’t let yourself get bullied by an anesthesiologist who claims to have PH knowledge when they don’t

October 16, 2025 (edited)
A myPHteam Member

Thank you, Heather. You are so right. The last one I had the anesthesiologist didn't think I needed to be intubated because my urologist was only taking a stone and Stent out. I convinced him that it was necessary for me as the one I had where the Stent was placed I wasn't intubated and I went blue twice because my lungs stopped. We need to be our best advocates.

October 16, 2025
A myPHteam Member

For all my surgeries that I have had my PAH specialist insist that I have a cardiac anesthesiologist there along with the others. I also have to get clearance from most of my doctors and have had to stop certain medications before going into surgery.

October 21, 2025
myPHteam

Yes, people with PAH can safely undergo anesthesia for surgery. However, your medical team will need to carefully review your medications and treatment plan beforehand. They will want to ensure your PAH is being managed as effectively as possible before proceeding with any surgical procedure.

Your surgical team will Show Full Answer

Yes, people with PAH can safely undergo anesthesia for surgery. However, your medical team will need to carefully review your medications and treatment plan beforehand. They will want to ensure your PAH is being managed as effectively as possible before proceeding with any surgical procedure.

Your surgical team will provide specific instructions about which medications you should continue or stop before surgery. Many PAH medications, including vasodilators, are generally considered safe to continue during surgery and under anesthesia. Important safety steps before surgery:

• Your medical team will review all your current medications
• They will determine if any medications need to be stopped and when
• The anesthesiologist will choose appropriate anesthetics based on your condition
• Your PAH treatment may be adjusted to help reduce surgical risks

Always make sure your surgical team is aware that you have PAH and inform them about all medications you're taking, including Adempas.

October 16, 2025

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