Do Late Bubbles Correspond to Early Hepatopulmonary Syndrome?

Autores: DuBrock Hilary Michael J, Krowka Michael J

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The study by Mendizabal, et al. in this issue of Annals of Hepatology describes the natural history of isolated intrapulmonary vascular dilatation (IPVD) (with normal oxygenation) in liver transplant candidates and compares the survival of patients with isolated IPVD to patients with hepatopulmonary syndrome (HPS) and controls without IPVD. In portopulmonary hypertension, IPVD was unexpectedly documented and noted to be associated with worse survival. Despite being commonly encountered in liver transplant candidates, the natural history and outcomes of IPVD and its relationship to HPS have not been previously described. This study provides a valuable contribution to our understanding of clinical outcomes of IPVD, but still leaves many questions unanswered.

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2017-12-14   |   152 visitas   |   Evalua este artículo 0 valoraciones

Vol. 16 Núm.4. Julio-Agosto 2017 Pags. 476-477 Ann Hepatol 2017; 16(4)