G. Mychaskiw et al., Sildenafil (Viagra) facilitates weaning of inhaled nitric oxide following placement of a biventricular-assist device, J CLIN ANES, 13(3), 2001, pp. 218-220
Sildenafil is a selective phosphodiesterase type 5 inhibitor used in the tr
eatment of erectile dysfunction. We report the use of sildenafil to blunt t
he rebound pulmonary hypertension seen following withdrawal of inhaled nitr
ic oxide (NO) and milrinone. The relatively long duration of sildenafil's a
ction on pulmonary artery pressures and lack of systemic hemodynamic effect
make it an attractive option to facilitate weaning of inhaled NO. (C) 2001
by Elsevier Science Inc.