Pulmonary infarction after liver transplant and previous hepatopulmonary syndrome.
We describe the case of a 36-year-old woman with previous hepatopulmonary syndrome in which a focal pulmonary lesion developed after liver transplantation. Thoracoscopic resection showed a pulmonary infarction of the superior segment of the right lower lobe. The patient recovered and had no further thrombotic events after 2 years of follow-up. The pulmonary vascular changes observed during hepatopulmonary syndrome may predispose patients to the development of pulmonary infarction.
Duchini
A
A
Division of Gastroenterology and Hepatology, Scripps Clinic, La Jolla, Calif 92037, USA.
Bradley
S
S
Russack
V
V
Pockros
P J
PJ
D000328:Adult; D001327:Autoimmune Diseases / Q000150:complications; D001784:Blood Gas Analysis; D015984:Causality; D005260:Female; D006505:Hepatitis / Q000150:complications; D020065:Hepatopulmonary Syndrome / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications; D016031:Liver Transplantation / Q000009:adverse effects*; D011013:Pneumonectomy; D011652:Pulmonary Circulation; D011655:Pulmonary Embolism / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D012129:Respiratory Function Tests; D013906:Thoracoscopy