IS INTRAPULMONARY ARTERIOVENOUS SHUNTING AND HYPOXEMIA A CONTRAINDICATION FOR LIVER-TRANSPLANTATION

被引：3

作者：

ERIKSSON, LS

机构：

[1] Department of Medicine, Huddinge Hospital Karolinska Institute Huddinge

来源：

HEPATOLOGY | 1991年 / 14卷 / 03期

关键词：

D O I：

10.1002/hep.1840140328

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

A 12‐year‐old boy with Wilson's disease developed exertional dyspnea, cyanosis, and finger clubbing 10 months after diagnosis. The hypoxemia was caused by arteriovenous shunting, demonstrated by radionuclide scanning and pulmonary arteriography. Orthotopic liver transplantation was performed after the development of severe hypoxemia. There was no apparent reversal of the intrapulmonary arteriovenous shunting and he died 10 days posttransplantation of multiple organ failure secondary to hypoxemia. Monitoring arterial oxygen saturation in children with cirrhosis is warranted since the presence of significant arteriovenous shunting may influence prognosis and decisions regarding liver transplantation. Copyright © 1991 American Association for the Study of Liver Diseases

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页码：575 / 576

页数：2

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