Resolution of severe hepato-pulmonary syndrome following transjugular portosystemic shunt procedure. (1st June 2012)

• Record Type: Journal Article
• Authors: Wallace, Michael C; James, Alan L; Marshall, Martin; Kontorinis, Nickolas
• Is Part Of: BMJ case reports. Volume 2012
• Publication Date: 2012-06-01
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr.02.2012.5811
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : The hepato-pulmonary syndrome (HPS) is a relatively common complication of hepatic disease that leads to hypoxaemia and dyspnoea secondary to pulmonary shunting. A number of pharmacological therapies have been trialled, yet liver transplantation remains the only definitive treatment. The use of a transjugular intrahepatic portosystemic shunt (TIPS) to reduce portal hypertension and improve oxygenation remains controversial in HPS due to the lack of large clinical series or randomised controlled trials. We present a case of HPS successfully treated with TIPS and review the relevant literature.