Síndrome Hepatopulmonar
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| Auteur: | |
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| Format: | artículo original |
| Statut: | Versión publicada |
| Date de publication: | 2013 |
| Description: | Hepatopulmonary syndrome (HPS) is an underdiagnosed syndrome that is defined as a clinical triad of advanced liver disease, arterial deoxygenation and intrapulmonary vascular dilatation. It is a rare complication of liver disease of varied etiologies and indicates a poor prognosis. Many theories have been put forward to throw light over its pathogenesis. The major clinical manifestations are arterial hypoxemia, clubbed fingers and spider naevi. Orthodeoxia and platypnea are usual clinical features. A simple non invasive method to screen HPS is desirable. Contrast enhanced 2D Echo cardiography is the preferred screening test. No effective medical treatment has been found. Although liver transplant seems feasible to reverse, at least partially, this situation. Long-term oxygen therapy pre and post liver transplant might offer a new therapeutic approach to improve liver function in patients with cirrhosis with hypoxemia. |
| Pays: | Portal de Revistas UCR |
| Institution: | Universidad de Costa Rica |
| Repositorio: | Portal de Revistas UCR |
| Langue: | Español |
| OAI Identifier: | oai:portal.ucr.ac.cr:article/8042 |
| Accès en ligne: | https://revistas.ucr.ac.cr/index.php/medica/article/view/8042 |
| Mots-clés: | síndrome hepatopulmonar desoxigenación arterial dilatación vascular pulmonar ecocardiografía de contraste hepatomulmonary syndrome arterial deoxigenation intrapulmonar vascular dilatation contrast echo cardiography liver transplant |