title: Failure of hepatopulmonary syndrome to resolve after liver transplantation and successful treatment with embolotherapy.
abstract: The hepatopulmonary syndrome is an uncommon accompaniment of chronic liver disease. The outcome of this disorder after orthotopic liver transplantation is variable. We describe a patient with the hepatopulmonary syndrome who underwent orthotopic liver transplantation for autoimmune hepatitis. Her platypnea and orthodeoxia failed to improve postoperatively. Pulmonary angiography showed large pulmonary arteriovenous shunts that were successfully treated with coil embolotherapy.
authors: Division of Gastroenterology, Mayo Clinic, Rochester, MN 55905.
authors: J J
authors: JJ
authors: Poterucha
authors: M J
authors: MJ
authors: Krowka
authors: E R
authors: ER
authors: Dickson
authors: D A
authors: DA
authors: Cortese
authors: A W
authors: AW
authors: Stanson
authors: R A
authors: RA
authors: Krom
mesh_terms: D000328:Adult; D000792:Angiography; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000628:therapy; D001327:Autoimmune Diseases / Q000601:surgery; D004621:Embolization, Therapeutic; D005260:Female; D006505:Hepatitis / Q000601:surgery; D006801:Humans; D008107:Liver Diseases / Q000628:therapy*; D016031:Liver Transplantation; D008171:Lung Diseases / Q000628:therapy*; D011652:Pulmonary Circulation; D013577:Syndrome; D017211:Treatment Failure