Resolution of severe hepato-pulmonary syndrome following transjugular portosystemic shunt procedure.

Abstract

The hepato-pulmonary syndrome (HPS) is a relatively common complication of hepatic disease that leads to hypoxaemia and dyspnoea secondary to pulmonary shunting. A number of pharmacological therapies have been trialled, yet liver transplantation remains the only definitive treatment. The use of a transjugular intrahepatic portosystemic shunt (TIPS) to reduce portal hypertension and improve oxygenation remains controversial in HPS due to the lack of large clinical series or randomised controlled trials. We present a case of HPS successfully treated with TIPS and review the relevant literature.

• Authors: Michael C Wallace, Alan L James, Martin Marshall, Nickolas Kontorinis
• Journal: BMJ case reports (BMJ Case Rep) Vol. 2012 (Jun 01 2012) ISSN: 1757-790X [Electronic] England
• PMID: 22669921 (Publication Type: Case Reports, Journal Article, Review)

Topics

• Diagnosis, Differential
• Follow-Up Studies
• Hepatopulmonary Syndrome (diagnosis, etiology, surgery)
• Humans
• Liver Cirrhosis (complications, physiopathology)
• Male
• Middle Aged
• Portal Pressure (physiology)
• Portasystemic Shunt, Transjugular Intrahepatic (methods)
• Positron-Emission Tomography
• Recovery of Function
• Tomography, X-Ray Computed