title: Recurrent portopulmonary hypertension after liver transplantation: management with epoprostenol and resolution after retransplantation.
abstract: We report a case of portopulmonary hypertension in which the pulmonary hypertension resolved after initial orthotopic liver transplantation. Portopulmonary hypertension recurred when the transplanted liver failed and again resolved after a second liver transplantation. Intravenous epoprostenol was administered perioperatively to control the pulmonary hypertension in both instances.
authors.affiliation: Divisions of Pulmonary and Critical Care Medicine, Department of Medicine, University of Miami School of Medicine, Miami, FL, USA. dkett@med.miami.edu
authors.forename: D H
authors.initials: DH
authors.lastname: Kett
authors.forename: R C
authors.initials: RC
authors.lastname: Acosta
authors.forename: M A
authors.initials: MA
authors.lastname: Campos
authors.forename: M J
authors.initials: MJ
authors.lastname: Rodriguez
authors.forename: A A
authors.initials: AA
authors.lastname: Quartin
authors.forename: R M
authors.initials: RM
authors.lastname: Schein
mesh_terms: D000959:Antihypertensive Agents / Q000627:therapeutic use*; D011464:Epoprostenol / Q000627:therapeutic use*; D006439:Hemodynamics; D006801:Humans; D006975:Hypertension, Portal / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D006976:Hypertension, Pulmonary / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation; D017211:Treatment Failure
chemical_list: D000959:Antihypertensive Agents; D011464:Epoprostenol