Pulmonary hypertension after liver transplantation in patients with antecedent hepatopulmonary syndrome: a report of 2 cases and review of the literature.
Hepatopulmonary syndrome (HPS) and portopulmonary hypertension (PPHTN) are distinct clinical entities that may complicate liver disease. Although HPS and PPHTN are different, several reports describe 6 patients in whom both conditions have occurred, either concurrently or sequentially, sometimes with the onset of PPHTN after liver transplantation. The current report extends this sparse experience by reporting 2 patients who underwent liver transplantation for HPS and who developed pulmonary hypertension after liver transplantation. This experience calls for better understanding of the pathogenesis of HPS and PPHTN and ways to better predict their occurrence.
Aucejo
Federico
F
Departments of General Surgery, Cleveland Clinic Lerner College of Medicine, Cleveland Clinic, Cleveland, OH, USA.
Miller
Charles
C
Vogt
David
D
Eghtesad
Bijan
B
Nakagawa
Shunichi
S
Stoller
James K
JK
D000328:Adult; D005260:Female; D020065:Hepatopulmonary Syndrome / Q000150:complications / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology / Q000503:physiopathology; D006976:Hypertension, Pulmonary / Q000209:etiology / Q000503:physiopathology; D016031:Liver Transplantation / Q000009:adverse effects*