Resolution of hypoxemia in a liver transplant recipient after ligation of a portosystemic shunt.
This report describes the unique development of pulmonary vascular dilatation and hypoxemia associated with a portosystemic shunt in a pediatric liver transplant recipient. Ligation of the shunt resulted in resolution of hypoxemia. The outcome suggests that hepatic venous return to the pulmonary circulation is important in maintaining normal pulmonary vascular caliber.
Spencer
L T
LT
Department of Pediatrics, Division of Pulmonary Diseases, the University of Florida College of Medicine, Gainesville, Florida 32610-0296, USA.
Langham
M R
MR
Hoyer
M H
MH
Jones
D A
DA
Caridi
J G
JG
Chesrown
S E
SE
D002648:Child; D005260:Female; D006801:Humans; D000860:Hypoxia / Q000209:etiology / Q000628:therapy*; D008026:Ligation; D016031:Liver Transplantation; D011170:Portasystemic Shunt, Surgical / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy*; D012074:Remission Induction