[Persistent pulmonary opacification as a sequela of portopulmonary shunt in portal vein thrombosis].
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.
Meyer
R G
RG
I. Medizinische Klinik der Johannes-Gutenberg-Universität Mainz.
Orth
T
T
Kreitner
K F
KF
Schirmacher
P
P
Meyer zum Büschenfelde
K H
KH
Gerken
G
G
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