Reduction of intrapulmonary shunt and resolution of digital clubbing associated with primary biliary cirrhosis after liver transplantation
作者:
James K. Stoller,
Douglas Moodie,
William A. Schiavone,
David Vogt,
Thomas Broughan,
Eugene Winkelman,
Patrice K. Rehm,
William D. Carey,
期刊:
Hepatology
(WILEY Available online 1990)
卷期:
Volume 11,
issue 1
页码: 54-58
ISSN:0270-9139
年代: 1990
DOI:10.1002/hep.1840110111
出版商: W.B. Saunders
数据来源: WILEY
摘要:
AbstractThis report describes a patient with marked hypoxemia caused by intrapulmonary shunt associated with primary biliary cirrhosis. Liver transplantation resulted in resolution of digital clubbing and reduction of intrapulmonary shunt as demonstrated by normalization of room air arterial blood gases, reduction in shunt fraction and normalization of the indocyanin‐enhanced echocardiogram and perfusion lung scan.This patient's course challenges the conventional notion that intrapulmonary shunting associated with chronic liver disease does not reverse after liver transplantation. (HEPATOLOGY 1990; 11: 54–
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