Abstract
Background: Hepatopulmomary syndrome is defined by the triad of chronic liver disease, increased alveolar-arterial gradient, and evidence of intrapulmonary vasodilation. It is commonly seen in association with cirrhosis (90%). Four percent to 8% of the hepatopulmomary syndrome cases are reported in noncirrhotic portal hypertension. The management of patients with hepatopulmomary syndrome due to noncirrhotic portal hypertension is not well described. Methods: We report a case of a 26-year-old woman who underwent liver transplantation for hepatopulmomary syndrome due to noncirrhotic portal hypertension. The patient presented with dyspnea and platypnea, requiring home oxygen therapy. She had orthodexia, severe hypoxemia, and positive bubble echocardiography consistent with hepatopulmomary syndrome. Her Model for End-stage Liver Disease score was 10. Liver biopsy revealed diffuse nodular regenerative hyperplasia. Results: The patient underwent liver transplantation with Model for End-stage Liver Disease exception points. Her oxygen requirements gradually improved during the postoperative period. The patient's symptoms and hypoxemia resolved at 15-month follow-up posttransplantation. Conclusion: We suggest hepatopulmonary syndrome in this setting is an indication for liver transplantation despite the absence of cirrhosis.
| Original language | English |
|---|---|
| Pages (from-to) | 2814-2816 |
| Number of pages | 3 |
| Journal | Transplantation Proceedings |
| Volume | 43 |
| Issue number | 7 |
| DOIs | |
| State | Published - Sep 1 2011 |
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ASJC Scopus subject areas
- Surgery
- Transplantation
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Liver transplantation for hepatopulmonary syndrome due to noncirrhotic portal hypertension. / Maganty, K.; Ghanta, R.; Bejarano, P.; Weppler, D.; Tekin, Akin; Moon, J.; Nishida, Seigo; Tzakis, A.; Martin, Paul.
In: Transplantation Proceedings, Vol. 43, No. 7, 01.09.2011, p. 2814-2816.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Liver transplantation for hepatopulmonary syndrome due to noncirrhotic portal hypertension
AU - Maganty, K.
AU - Ghanta, R.
AU - Bejarano, P.
AU - Weppler, D.
AU - Tekin, Akin
AU - Moon, J.
AU - Nishida, Seigo
AU - Tzakis, A.
AU - Martin, Paul
PY - 2011/9/1
Y1 - 2011/9/1
N2 - Background: Hepatopulmomary syndrome is defined by the triad of chronic liver disease, increased alveolar-arterial gradient, and evidence of intrapulmonary vasodilation. It is commonly seen in association with cirrhosis (90%). Four percent to 8% of the hepatopulmomary syndrome cases are reported in noncirrhotic portal hypertension. The management of patients with hepatopulmomary syndrome due to noncirrhotic portal hypertension is not well described. Methods: We report a case of a 26-year-old woman who underwent liver transplantation for hepatopulmomary syndrome due to noncirrhotic portal hypertension. The patient presented with dyspnea and platypnea, requiring home oxygen therapy. She had orthodexia, severe hypoxemia, and positive bubble echocardiography consistent with hepatopulmomary syndrome. Her Model for End-stage Liver Disease score was 10. Liver biopsy revealed diffuse nodular regenerative hyperplasia. Results: The patient underwent liver transplantation with Model for End-stage Liver Disease exception points. Her oxygen requirements gradually improved during the postoperative period. The patient's symptoms and hypoxemia resolved at 15-month follow-up posttransplantation. Conclusion: We suggest hepatopulmonary syndrome in this setting is an indication for liver transplantation despite the absence of cirrhosis.
AB - Background: Hepatopulmomary syndrome is defined by the triad of chronic liver disease, increased alveolar-arterial gradient, and evidence of intrapulmonary vasodilation. It is commonly seen in association with cirrhosis (90%). Four percent to 8% of the hepatopulmomary syndrome cases are reported in noncirrhotic portal hypertension. The management of patients with hepatopulmomary syndrome due to noncirrhotic portal hypertension is not well described. Methods: We report a case of a 26-year-old woman who underwent liver transplantation for hepatopulmomary syndrome due to noncirrhotic portal hypertension. The patient presented with dyspnea and platypnea, requiring home oxygen therapy. She had orthodexia, severe hypoxemia, and positive bubble echocardiography consistent with hepatopulmomary syndrome. Her Model for End-stage Liver Disease score was 10. Liver biopsy revealed diffuse nodular regenerative hyperplasia. Results: The patient underwent liver transplantation with Model for End-stage Liver Disease exception points. Her oxygen requirements gradually improved during the postoperative period. The patient's symptoms and hypoxemia resolved at 15-month follow-up posttransplantation. Conclusion: We suggest hepatopulmonary syndrome in this setting is an indication for liver transplantation despite the absence of cirrhosis.
UR - http://www.scopus.com/inward/record.url?scp=80052701539&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=80052701539&partnerID=8YFLogxK
U2 - 10.1016/j.transproceed.2011.07.003
DO - 10.1016/j.transproceed.2011.07.003
M3 - Article
C2 - 21911170
AN - SCOPUS:80052701539
VL - 43
SP - 2814
EP - 2816
JO - Transplantation Proceedings
JF - Transplantation Proceedings
SN - 0041-1345
IS - 7
ER -