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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.68 No.1
- 발행연도
- 2015.1
- 수록면
- 83 - 86 (4page)
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초록· 키워드
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Severe portopulmonary hypertension (PPHT) is considered a contraindication for liver transplantation (LT) because ofthe associated high mortality and poor prognosis. We report the case of a 57-year-old cirrhotic woman with severe PPHT(mean pulmonary artery pressure [mPAP] > 65 mmHg), who underwent a successful living donor LT. Intra-operativeuse of inhaled iloprost, milrinone, dobutamine, and postoperative use of inhaled nitric oxide and oral sildenafil failed tolower the pulmonary artery pressure (PAP). The patient responded only to nitroglycerin and drainage of massive ascites.
Meticulous intra-operative volume control, which included minimizing blood loss and subsequent transfusion, was carriedout. The use of vasopressors, which may have elevated the PAP, was strictly restricted. Intra-operative PAP did notshow an increase, and the hemodynamics was maintained within relatively normal range, compared to the preoperativestate. The patient was discharged without any complications or related symptoms.
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참고문헌 (11)
참고문헌 신청
Cartin-Ceba R / 2014 / Portopulmonary hypertension / Clin Liver Dis 18:421~438
Fukazawa K / 2010 / Rapid assessment and safe management of severe pulmonary hypertension with milrinone during orthotopic liver transplantation / Clin Transplant 24:515~519
Pilatis ND / 2000 / Clinical predictors of pulmonary hypertension in patients undergoing liver transplant evaluation / Liver Transpl 6:85~91
Ramsay MA / 1997 / Severe pulmonary hypertension in liver transplant candidates / Liver Transpl Surg 3:494~500
Nef HM / 2010 / Pulmonary hypertension : updated classification and management of pulmonary hypertension / Heart 96:552~559
Fukazawa K / 2010 / Rapid assessment and safe management of severe pulmonary hypertension with milrinone during orthotopic liver transplantation / Clin Transplant 24:515~519
Pilatis ND / 2000 / Clinical predictors of pulmonary hypertension in patients undergoing liver transplant evaluation / Liver Transpl 6:85~91
Ramsay MA / 1997 / Severe pulmonary hypertension in liver transplant candidates / Liver Transpl Surg 3:494~500
Nef HM / 2010 / Pulmonary hypertension : updated classification and management of pulmonary hypertension / Heart 96:552~559
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