Pulmonary artery embolotherapy in a patient with type I hepatopulmonary syndrome after liver transplantation.
Although liver transplantation (LT) is the only effective treatment option for hepatopulmonary syndrome (HPS), the post-LT morbidity and mortality have been high for patients with severe HPS. We performed post-LT embolotherapy in a 10-year-old boy who had severe type I HPS preoperatively, but he failed to recover early from his hypoxemic symptoms after an LT. Multiple embolizations were then successfully performed on the major branches that formed the abnormal vascular structures. After the embolotherapy, the patient had symptomatic improvement and he was discharged without complications.
Lee
Hae Won
HW
Department of Surgery, Konkuk University School of Medicine, Seoul 143-729, Korea.
Suh
Kyung-Suk
KS
Kim
Joohyun
J
Shin
Woo Young
WY
Yi
Nam-Joon
NJ
Jae
Hwan Jun
HJ
Chung
Jin Wook
JW
Oh
So Won
SW
Kang
Keon Wook
KW
Lee
Kuhn Uk
KU
D002648:Child; D003131:Combined Modality Therapy; D004452:Echocardiography; D004621:Embolization, Therapeutic / Q000379:methods*; D020065:Hepatopulmonary Syndrome / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D016031:Liver Transplantation; D008297:Male; D010092:Oximetry; D049268:Positron-Emission Tomography; D011651:Pulmonary Artery; D014057:Tomography, X-Ray Computed