Living-related liver transplantation in a patient with hepatopulmonary syndrome

Masaki Matsumi, Ryuji Kaku, Hiromi Fujii, Hidetoshi Kajiwara, Toshihiro Sasaki, Tetsufumi Satoh, Ichiro Ohashi, Kiyoshi Morita

Research output: Contribution to journalArticle

Abstract

We experienced the perioperative management of the living related liver transplantation (LRLT) in a patient with hepatopulmonary syndrome (HPS). HPS is seen in 15% of patients of the endstage liver failure, and it accompanies the various types of hypoxia. The diagnostic standards of HPS are chronic liver disease usually complicated by portal hypertension with or without cirrhosis, arterial hypoxemia (PaO2O2 gradient> 20 mmHg), and intrapulmonary vascular dilation. The present case conformed to the diagnostic standard. But this case was of a mild type of HPS, because PaO2 was elevated after O2 inhalation and extrapulmonary uptake of 99mTcMAA after lung perfusion was lower than 40%. During perioperative period of LRLT, there were no complications such as hypoxia, acute rejection, bleeding and infection. Therefore HPS would be improved after LRLT. In the management of perioperative period it is important to be aware of hypoxia and to evaluate preoperatively the condition of the patient properly.

Original languageEnglish
Pages (from-to)668-671
Number of pages4
JournalJapanese Journal of Anesthesiology
Volume53
Issue number6
Publication statusPublished - Jun 2004

Fingerprint

Hepatopulmonary Syndrome
Liver Transplantation
Perioperative Period
Liver Failure
Portal Hypertension
Inhalation
Blood Vessels
Liver Diseases
Dilatation
Fibrosis
Chronic Disease
Perfusion
Hemorrhage
Lung
Hypoxia
Infection

Keywords

  • Hepatopulmonary syndrome (HPS)
  • Hypoxemia
  • Living related liver transplantation

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Matsumi, M., Kaku, R., Fujii, H., Kajiwara, H., Sasaki, T., Satoh, T., ... Morita, K. (2004). Living-related liver transplantation in a patient with hepatopulmonary syndrome. Japanese Journal of Anesthesiology, 53(6), 668-671.

Living-related liver transplantation in a patient with hepatopulmonary syndrome. / Matsumi, Masaki; Kaku, Ryuji; Fujii, Hiromi; Kajiwara, Hidetoshi; Sasaki, Toshihiro; Satoh, Tetsufumi; Ohashi, Ichiro; Morita, Kiyoshi.

In: Japanese Journal of Anesthesiology, Vol. 53, No. 6, 06.2004, p. 668-671.

Research output: Contribution to journalArticle

Matsumi, M, Kaku, R, Fujii, H, Kajiwara, H, Sasaki, T, Satoh, T, Ohashi, I & Morita, K 2004, 'Living-related liver transplantation in a patient with hepatopulmonary syndrome', Japanese Journal of Anesthesiology, vol. 53, no. 6, pp. 668-671.
Matsumi M, Kaku R, Fujii H, Kajiwara H, Sasaki T, Satoh T et al. Living-related liver transplantation in a patient with hepatopulmonary syndrome. Japanese Journal of Anesthesiology. 2004 Jun;53(6):668-671.
Matsumi, Masaki ; Kaku, Ryuji ; Fujii, Hiromi ; Kajiwara, Hidetoshi ; Sasaki, Toshihiro ; Satoh, Tetsufumi ; Ohashi, Ichiro ; Morita, Kiyoshi. / Living-related liver transplantation in a patient with hepatopulmonary syndrome. In: Japanese Journal of Anesthesiology. 2004 ; Vol. 53, No. 6. pp. 668-671.
@article{709bae5963c84b8891d7660c6ee6f95f,
title = "Living-related liver transplantation in a patient with hepatopulmonary syndrome",
abstract = "We experienced the perioperative management of the living related liver transplantation (LRLT) in a patient with hepatopulmonary syndrome (HPS). HPS is seen in 15{\%} of patients of the endstage liver failure, and it accompanies the various types of hypoxia. The diagnostic standards of HPS are chronic liver disease usually complicated by portal hypertension with or without cirrhosis, arterial hypoxemia (PaO2O2 gradient> 20 mmHg), and intrapulmonary vascular dilation. The present case conformed to the diagnostic standard. But this case was of a mild type of HPS, because PaO2 was elevated after O2 inhalation and extrapulmonary uptake of 99mTcMAA after lung perfusion was lower than 40{\%}. During perioperative period of LRLT, there were no complications such as hypoxia, acute rejection, bleeding and infection. Therefore HPS would be improved after LRLT. In the management of perioperative period it is important to be aware of hypoxia and to evaluate preoperatively the condition of the patient properly.",
keywords = "Hepatopulmonary syndrome (HPS), Hypoxemia, Living related liver transplantation",
author = "Masaki Matsumi and Ryuji Kaku and Hiromi Fujii and Hidetoshi Kajiwara and Toshihiro Sasaki and Tetsufumi Satoh and Ichiro Ohashi and Kiyoshi Morita",
year = "2004",
month = "6",
language = "English",
volume = "53",
pages = "668--671",
journal = "Japanese Journal of Anesthesiology",
issn = "0021-4892",
publisher = "Kokuseido Publishing Co. Ltd",
number = "6",

}

TY - JOUR

T1 - Living-related liver transplantation in a patient with hepatopulmonary syndrome

AU - Matsumi, Masaki

AU - Kaku, Ryuji

AU - Fujii, Hiromi

AU - Kajiwara, Hidetoshi

AU - Sasaki, Toshihiro

AU - Satoh, Tetsufumi

AU - Ohashi, Ichiro

AU - Morita, Kiyoshi

PY - 2004/6

Y1 - 2004/6

N2 - We experienced the perioperative management of the living related liver transplantation (LRLT) in a patient with hepatopulmonary syndrome (HPS). HPS is seen in 15% of patients of the endstage liver failure, and it accompanies the various types of hypoxia. The diagnostic standards of HPS are chronic liver disease usually complicated by portal hypertension with or without cirrhosis, arterial hypoxemia (PaO2O2 gradient> 20 mmHg), and intrapulmonary vascular dilation. The present case conformed to the diagnostic standard. But this case was of a mild type of HPS, because PaO2 was elevated after O2 inhalation and extrapulmonary uptake of 99mTcMAA after lung perfusion was lower than 40%. During perioperative period of LRLT, there were no complications such as hypoxia, acute rejection, bleeding and infection. Therefore HPS would be improved after LRLT. In the management of perioperative period it is important to be aware of hypoxia and to evaluate preoperatively the condition of the patient properly.

AB - We experienced the perioperative management of the living related liver transplantation (LRLT) in a patient with hepatopulmonary syndrome (HPS). HPS is seen in 15% of patients of the endstage liver failure, and it accompanies the various types of hypoxia. The diagnostic standards of HPS are chronic liver disease usually complicated by portal hypertension with or without cirrhosis, arterial hypoxemia (PaO2O2 gradient> 20 mmHg), and intrapulmonary vascular dilation. The present case conformed to the diagnostic standard. But this case was of a mild type of HPS, because PaO2 was elevated after O2 inhalation and extrapulmonary uptake of 99mTcMAA after lung perfusion was lower than 40%. During perioperative period of LRLT, there were no complications such as hypoxia, acute rejection, bleeding and infection. Therefore HPS would be improved after LRLT. In the management of perioperative period it is important to be aware of hypoxia and to evaluate preoperatively the condition of the patient properly.

KW - Hepatopulmonary syndrome (HPS)

KW - Hypoxemia

KW - Living related liver transplantation

UR - http://www.scopus.com/inward/record.url?scp=3142556101&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=3142556101&partnerID=8YFLogxK

M3 - Article

C2 - 15242041

AN - SCOPUS:3142556101

VL - 53

SP - 668

EP - 671

JO - Japanese Journal of Anesthesiology

JF - Japanese Journal of Anesthesiology

SN - 0021-4892

IS - 6

ER -