Adenotonsillar hypertrophy and cor pulmonale.

Pulmonary hypertension is a known complication of chronic upper airway obstruction resulting from adenotonsillar hypertrophy. Surgical removal of the hypertrophic tissue usually leads to rapid improvement. Although anaesthetic management is potentially hazardous, little has been written on this aspect. Six paediatric patients (all male) are reported here, and a suitable anaesthetic technique is described.