Successful liver retransplantation for recurrent hepatopulmonary syndrome

被引：10

作者：

Rajwal, S. R. ^{[1
]}

Davison, S. M. ^{[1
]}

Prasad, R. ^{[1
]}

Brownlee, K. ^{[1
]}

McClean, P. ^{[1
]}

机构：

[1] St James Univ Hosp, Childrens Liver & GI Unit, Leeds LS9 7TF, W Yorkshire, England

来源：

PEDIATRIC TRANSPLANTATION | 2007年 / 11卷 / 08期

关键词：

hepatopulmonary syndrome; orthotopic liver transplantation; primary sclerosing cholangitis;

D O I：

10.1111/j.1399-3046.2007.00790.x

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

HPS is defined as arterial hypoxemia because of pulmonary vasodilation as a result of cirrhotic or non-cirrhotic portal hypertension. This report describes a teenager with HPS because of primary sclerosing cholangitis/autoimmune hepatitis overlap syndrome requiring OLT. HPS resolved completely within three months of OLT, but recurred again at 12 months post-OLT following liver dysfunction secondary to a biliary stricture. She underwent a second OLT successfully and remains well two yr and three months post-second OLT. Recurrent HPS after OLT may occur because of graft dysfunction and as this novel case illustrates, retransplantation may lead to a successful outcome.

引用

页码：927 / 930

页数：4

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