Use of transjugular intrahepatic portosystemic shunt as a bridge to liver transplantation in a patient with severe hepatopulmonary syndrome

Hugh M. Lasch, Michael W. Fried, Steven L. Zacks, Pat Odell, Mark W. Johnson, David A. Gerber, Fatejeet S. Sandhu, Jeffrey Fair, Roshan Shrestha

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

Hepatopulmonary syndrome (HPS) is defined by the presence of the triad of liver disease, arterial hypoxemia, and intrapulmonary vascular dilatation. The clinical implication of this disorder is impairment of gas exchange. Numerous reports in the literature show that this condition is reversible with orthotopic liver transplantation (OLT). However, patients with HPS often present with Pao 2 levels that are quite low. OLT with a preoperative Pao 2 less than 50 mm Hg is associated with unacceptably high mortality and morbidity. We report a case of severe HPS in which a transjugular intrahepatic portosystemic shunt was successfully used to improve oxygenation, thus allowing a successful elective OLT.

Original languageEnglish (US)
Pages (from-to)147-149
Number of pages3
JournalLiver Transplantation
Volume7
Issue number2
DOIs
StatePublished - 2001
Externally publishedYes

Fingerprint

Hepatopulmonary Syndrome
Transjugular Intrahepatic Portasystemic Shunt
Liver Transplantation
Blood Vessels
Liver Diseases
Dilatation
Gases
Morbidity
Mortality

ASJC Scopus subject areas

  • Surgery
  • Transplantation

Cite this

Use of transjugular intrahepatic portosystemic shunt as a bridge to liver transplantation in a patient with severe hepatopulmonary syndrome. / Lasch, Hugh M.; Fried, Michael W.; Zacks, Steven L.; Odell, Pat; Johnson, Mark W.; Gerber, David A.; Sandhu, Fatejeet S.; Fair, Jeffrey; Shrestha, Roshan.

In: Liver Transplantation, Vol. 7, No. 2, 2001, p. 147-149.

Research output: Contribution to journalArticle

Lasch, Hugh M. ; Fried, Michael W. ; Zacks, Steven L. ; Odell, Pat ; Johnson, Mark W. ; Gerber, David A. ; Sandhu, Fatejeet S. ; Fair, Jeffrey ; Shrestha, Roshan. / Use of transjugular intrahepatic portosystemic shunt as a bridge to liver transplantation in a patient with severe hepatopulmonary syndrome. In: Liver Transplantation. 2001 ; Vol. 7, No. 2. pp. 147-149.
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