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Late recurrence and rapid evolution of severe hepatopulmonary syndrome after liver transplantation.
Krowka, M J; Wiseman, G A; Steers, J L; Wiesner, R H.
Afiliación
  • Krowka MJ; Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Liver Transpl Surg ; 5(5): 451-3, 1999 Sep.
Article en En | MEDLINE | ID: mdl-10477847
Recurrence of hepatopulmonary syndrome (HPS) after orthotopic liver transplantation (OLT) in an adult has never been reported. We describe a 23-year-old woman who initially underwent OLT because of debilitating and severe HPS associated with nonalcoholic steatohepatitis (NASH). Although the clinical resolution of HPS was well documented day 117 post-OLT, the reappearance of NASH was documented by liver biopsy. Severe hypoxemia because of recurrent HPS rapidly evolved beginning approximately day 700 post-OLT. Retransplantation was attempted, but the patient died post-OLT of sepsis and/or multiorgan failure.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trasplante de Hígado / Síndrome Hepatopulmonar Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans Idioma: En Revista: Liver Transpl Surg Asunto de la revista: GASTROENTEROLOGIA / TRANSPLANTE Año: 1999 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trasplante de Hígado / Síndrome Hepatopulmonar Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans Idioma: En Revista: Liver Transpl Surg Asunto de la revista: GASTROENTEROLOGIA / TRANSPLANTE Año: 1999 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos