Resolution of cirrhosis-related pulmonary shunting in two children with a transplanted liver
| Autor: | Hirotoshi Yamamoto, Shinji Ikeda, Tat Hin Ong, Shunji Kawamoto, Russell W. Strong, Stephen V. Lynch, Yoshihisa Sera, Shinichiro Uchino |
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| Rok vydání: | 1996 |
| Předmět: |
Liver Cirrhosis
medicine.medical_specialty Pulmonary Circulation Cirrhosis Extrahepatic Biliary Atresia medicine.medical_treatment Biliary cirrhosis Liver transplantation Gastroenterology Hypoxemia Biliary Atresia Internal medicine medicine Humans Hepatopulmonary syndrome Child Lung Transplantation business.industry Infant Syndrome medicine.disease Liver Transplantation Biliary tract Child Preschool Female medicine.symptom business |
| Zdroj: | Transplant international : official journal of the European Society for Organ Transplantation. 9(6) |
| ISSN: | 0934-0874 |
| Popis: | We treated two children with hypoxemia caused by intrapulmonary shunting associated with cirrhosis secondary to extrahepatic biliary atresia. Following orthotopic liver transplantation, digital clubbing and intrapulmonary shunting were resolved, as demonstrated by normalization of room air arterial blood gases, reduction in shunt fraction, and perfusion lung scanning with 99mTc-labeled macroaggregates of albumin. We recommend that early liver transplantation be considered for young subjects with a severe hepatopulmonary syndrome. |
| Databáze: | OpenAIRE |
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