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 cir...

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Bibliographic Details
Published in:	The Journal of pediatrics Vol. 137; no. 4; pp. 575 - 577
Main Authors:	Spencer, L.Terry, Langham, Max R., Hoyer, Mark H., Jones, David A., Caridi, James G., Chesrown, Sarah E.
Format:	Journal Article
Language:	English
Published:	New York, NY Mosby, Inc 01-10-2000 Elsevier
Subjects:	Biological and medical sciences Child Female Humans Hypoxia - etiology Hypoxia - therapy Ligation Liver Transplantation Liver, biliary tract, pancreas, portal circulation, spleen Medical sciences Portasystemic Shunt, Surgical - adverse effects Postoperative Complications - etiology Postoperative Complications - therapy Remission Induction Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Human Oxygen Iatrogenic Azygos vein Treatment efficiency Liver Transplantation Superior mesenteric vein Hypoxemia Ligature Surgery Complication Aberrant anastomosis Child
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Summary:	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. (J Pediatr 2000;137:575-7)
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0022-3476 1097-6833
DOI:	10.1067/mpd.2000.107841