title: [Persistent pulmonary opacification as a sequela of portopulmonary shunt in portal vein thrombosis].
abstract: Portopulmonary venous anastomosis are a very rare complication of chronic liver diseases. We report on a patient with a cryptogenic liver cirrhosis and thrombosis of the portal vein who underwent antibiotic treatment because of recurrent pneumonias several times. Although treated successfully a pulmonal infiltrate persisted in further radiologic controls. By means of a velocity-encoded MRI a portopulmonary shunt of 30% of the cardiac output was assured. An operative correction with a distal splenorenal shunt was performed successfully. Former reports of portopulmonary anastomoses complicating chronic liver disease never were hemodynamically relevant. In the presented case, a portopulmonary anastomosis lead to recurrent pneumonias and a restrictive ventilatory disorder.
authors.affiliation: I. Medizinische Klinik der Johannes-Gutenberg-Universität Mainz.
authors.forename: R G
authors.initials: RG
authors.lastname: Meyer
authors.forename: T
authors.initials: T
authors.lastname: Orth
authors.forename: K F
authors.initials: KF
authors.lastname: Kreitner
authors.forename: P
authors.initials: P
authors.lastname: Schirmacher
authors.forename: K H
authors.initials: KH
authors.lastname: Meyer zum Büschenfelde
authors.forename: G
authors.initials: G
authors.lastname: Gerken
mesh_terms: D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000175:diagnosis* / Q000601:surgery; D008103:Liver Cirrhosis / Q000175:diagnosis* / Q000601:surgery; D008173:Lung Diseases, Obstructive / Q000209:etiology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D011014:Pneumonia / Q000209:etiology / Q000601:surgery; D011169:Portal Vein / Q000473:pathology* / Q000601:surgery; D011667:Pulmonary Veins / Q000473:pathology* / Q000601:surgery; D012008:Recurrence; D013164:Splenorenal Shunt, Surgical; D013927:Thrombosis / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed