Pulmonary Artery Embolotherapy in a Patient with Type I Hepatopulmonary Syndrome after Liver Transplantation.
10.3348/kjr.2010.11.4.485
- Author:
Hae Won LEE
1
;
Kyung Suk SUH
;
Joohyun KIM
;
Woo Young SHIN
;
Nam Joon YI
;
Hwan Jun JAE
;
Jin Wook CHUNG
;
So Won OH
;
Keon Wook KANG
;
Kuhn Uk LEE
Author Information
1. Department of Surgery, Konkuk University School of Medicine, Seoul 143-729, Korea.
- Publication Type:Case Report
- Keywords:
Hepatopulmonary syndrome;
Pulmonary vasodilatation;
Intrapulmonary arteriovenous shunt;
Embolization;
Liver transplantation
- MeSH:
Child;
Combined Modality Therapy;
Echocardiography;
Embolization, Therapeutic/*methods;
Hepatopulmonary Syndrome/diagnosis/*therapy;
Humans;
*Liver Transplantation;
Male;
Oximetry;
Positron-Emission Tomography;
*Pulmonary Artery;
Tomography, X-Ray Computed
- From:Korean Journal of Radiology
2010;11(4):485-489
- CountryRepublic of Korea
- Language:English
-
Abstract:
Although liver transplantation (LT) is the only effective treatment option for hepatopulmonary syndrome (HPS), the post-LT morbidity and mortality have been high for patients with severe HPS. We performed post-LT embolotherapy in a 10-year-old boy who had severe type I HPS preoperatively, but he failed to recover early from his hypoxemic symptoms after an LT. Multiple embolizations were then successfully performed on the major branches that formed the abnormal vascular structures. After the embolotherapy, the patient had symptomatic improvement and he was discharged without complications.