Recurrent portopulmonary hypertension after liver transplantation: Management with epoprostenol and resolution after retransplantation

被引：33

作者：

Kett, DH

Acosta, RC

Campos, MA

Rodriguez, MJ

Quartin, AA

Schein, RMH

机构：

[1] Dept Vet Affairs Med Ctr, Miami, FL 33125 USA

[2] Univ Miami, Sch Med, Dept Med, Div Pulm & Crit Care Med, Miami, FL USA

[3] Univ Miami, Sch Med, Dept Med, Div Hepatol, Miami, FL USA

来源：

LIVER TRANSPLANTATION | 2001年 / 7卷 / 07期

关键词：

D O I：

10.1053/jlts.2001.25358

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

We report a case of portopulmonary hypertension in which the pulmonary hypertension resolved after initial orthotopic liver transplantation. Portopulmonary hypertension recurred when the transplanted liver failed and again resolved after a second liver transplantation. Intravenous epoprostenol was administered perioperatively to control the pulmonary hypertension in both instances.

引用

收藏

页码：645 / 648

页数：4

相关论文

共 26 条

[1] A comparison of continuous intravenous epoprostenol (prostacyclin) with conventional therapy for primary pulmonary hypertension [J].

Barst, RJ ;

Rubin, LJ ;

Long, WA ;

McGoon, MD ;

Rich, S ;

Badesch, DB ;

Groves, BM ;

Tapson, VF ;

Bourge, RC ;

Brundage, BH ;

Koerner, SK ;

Langleben, D ;

Keller, CA ;

Murali, S ;

Uretsky, BF ;

Clayton, LM ;

Jobsis, MM ;

Blackburn, SD ;

Shortino, D ;

Crow, JW .

NEW ENGLAND JOURNAL OF MEDICINE, 1996, 334 (05) :296-301

[2] Frequency and clinical implications of increased pulmonary artery pressures in liver transplant patients [J].

Castro, M ;

Krowka, MJ ;

Schroeder, DR ;

Beck, KC ;

Plevak, DJ ;

Rettke, SR ;

Cortese, DA ;

Wiesner, RH .

MAYO CLINIC PROCEEDINGS, 1996, 71 (06) :543-551

[3] COEXISTENT PULMONARY AND PORTAL-HYPERTENSION - MORPHOLOGICAL AND CLINICAL-FEATURES [J].

EDWARDS, BS ;

WEIR, EK ;

EDWARDS, WD ;

LUDWIG, J ;

DYKOSKI, RK ;

EDWARDS, JE .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1987, 10 (06) :1233-1238

[4] CLINICAL PRIMARY PULMONARY-HYPERTENSION - 3 PATHOLOGIC TYPES [J].

EDWARDS, WD ;

EDWARDS, JE .

CIRCULATION, 1977, 56 (05) :884-888

[5] LONG-TERM SURVIVAL AND RENAL-FUNCTION FOLLOWING LIVER-TRANSPLANTATION IN PATIENTS WITH AND WITHOUT HEPATORENAL-SYNDROME - EXPERIENCE IN 300 PATIENTS [J].

GONWA, TA ;

MORRIS, CA ;

GOLDSTEIN, RM ;

HUSBERG, BS ;

KLINTMALM, GB .

TRANSPLANTATION, 1991, 51 (02) :428-430

[6] PULMONARY-HYPERTENSION COMPLICATING PORTAL-HYPERTENSION - PREVALENCE AND RELATION TO SPLANCHNIC HEMODYNAMICS [J].

HADENGUE, A ;

BENHAYOUN, MK ;

LEBREC, D ;

BENHAMOU, JP .

GASTROENTEROLOGY, 1991, 100 (02) :520-528

[7] Late recurrence and rapid evolution of severe hepatopulmonary syndrome after liver transplantation [J].

Krowka, MJ ;

Wiseman, GA ;

Steers, JL ;

Wiesner, RH .

LIVER TRANSPLANTATION AND SURGERY, 1999, 5 (05) :451-453

[8] Pulmonary hemodynamics and perioperative cardiopulmonary-related mortality in patients with portopulmonary hypertension undergoing liver transplantation [J].

Krowka, MJ ;

Plevak, DJ ;

Findlay, JY ;

Rosen, CB ;

Wiesner, RH ;

Krom, RAF .

LIVER TRANSPLANTATION, 2000, 6 (04) :443-450

[9] Distinctive clinical features of portopulmonary hypertension [J].

Kuo, PC ;

Plotkin, JS ;

Johnson, LB ;

Howell, CD ;

Laurin, JM ;

Bartlett, ST ;

Rubin, LJ .

CHEST, 1997, 112 (04) :980-986

[10] Continuous intravenous infusion of epoprostenol for the treatment of portopulmonary hypertension [J].

Kuo, PC ;

Johnson, LB ;

Plotkin, JS ;

Howell, CD ;

Bartlett, ST ;

Rubin, LJ .

TRANSPLANTATION, 1997, 63 (04) :604-606