Surgical closure of large splenorenal shunt may accelerate recovery from hepato-pulmonary syndrome in liver transplant patients
10.5847/wjem.j.1920-8642.2020.01.009
- Author:
Yan-jun Shi
1
,
2
;
Patrick Mckiernan
3
,
4
;
Kyle Soltys
3
,
4
;
George Mazariegos
3
,
4
;
Wei-lin Wang
1
,
2
Author Information
1. Department of Hepatobiliary &
2. Pancreas Surgery, the Second Affiliated Hospital of Zhejiang University School ofMedicine, Hangzhou 310009, China
3. Thomas E. Starzl Transplantation Institute, Hillman Center for Pediatric Transplantation, Department of TransplantSurgery, Children'
4. s Hospital of Pittsburgh of the University of Pittsburgh Medical Center, Pittsburgh, PA, USA
- Publication Type:Case Reports
- Keywords:
hepato-pulmonary syndrome;
splenorenal shunt;
liver transplant;
Surgical closure
- From:
World Journal of Emergency Medicine
2020;11(1):60-63
- CountryChina
- Language:English
-
Abstract:
BACKGROUND:Hepatopulmonary syndrome (HPS) is not uncommon in the setting of liver disease, especially in liver cirrhosis patients. The prevalence of HPS in liver cirrhosis patients varies from 4% to 47%.[1-3] About the definition of HPS, it is a pulmonary vascular disorder with evidence of intrapulmonary arterial venous shunt.[4] Pulmonary dyspnea and polycythemia are common presentations of HPS. Dyspnea, cyanosis and clubbed fingers were present in most of all cases. Spider nevi is another common clinical feature of patients with HPS.
- Full text:009 WJEM-2019-0243.pdf