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Failure of hepatopulmonary syndrome to resolve after liver transplantation and successful treatment with embolotherapy
Author(s) -
Poterucha John J.,
Krowka Michael J.,
Dickson E. Rolland,
Cortese Denis A.,
Stanson Anthony W.,
Krom Ruud A. F.
Publication year - 1995
Publication title -
hepatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 5.488
H-Index - 361
eISSN - 1527-3350
pISSN - 0270-9139
DOI - 10.1002/hep.1840210117
Subject(s) - hepatopulmonary syndrome , medicine , liver transplantation , orthotopic liver transplantation , liver disease , transplantation , alagille syndrome , cirrhosis , surgery , cholestasis
The hepatopulmonary syndrome is an uncommon accompaniment of chronic liver disease. The outcome of this disorder after orthotopic liver transplantation is varibable. We describe a patient with the hepatopulmonary syndrome who underwent orthotopic liver transplantation for autoimmune hepatitis. Her platypnea and orthodeoxia failed to improve postoperatively. Pulmonary angiography showed large pulmonary arteriovenous shunts that were successfully treated with coil embolotherapy. (Hepatology 1995;21:96–100).