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 H. Fair; Roshan Shrestha

doi:10.1053/jlts.2001.21287

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 H. Fair, Roshan Shrestha

Research output: Contribution to journal › Article

45 Scopus citations

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 Pao₂ levels that are quite low. OLT with a preoperative Pao₂ 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 language	English (US)
Pages (from-to)	147-149
Number of pages	3
Journal	Liver Transplantation
Volume	7
Issue number	2
DOIs	https://doi.org/10.1053/jlts.2001.21287
State	Published - Jan 1 2001
Externally published	Yes

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ASJC Scopus subject areas

Surgery
Hepatology
Transplantation

Cite this

Lasch, H. M., Fried, M. W., Zacks, S. L., Odell, P., Johnson, M. W., Gerber, D. A., Sandhu, F. S., Fair, J. H., & Shrestha, R. (2001). Use of transjugular intrahepatic portosystemic shunt as a bridge to liver transplantation in a patient with severe hepatopulmonary syndrome. Liver Transplantation, 7(2), 147-149. https://doi.org/10.1053/jlts.2001.21287

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 H.; Shrestha, Roshan.

In: Liver Transplantation, Vol. 7, No. 2, 01.01.2001, p. 147-149.

Research output: Contribution to journal › Article

Lasch, Hugh M. ; Fried, Michael W. ; Zacks, Steven L. ; Odell, Pat ; Johnson, Mark W. ; Gerber, David A. ; Sandhu, Fatejeet S. ; Fair, Jeffrey H. ; 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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Access to Document

10.1053/jlts.2001.21287