Journal article

Extracorporeal membrane oxygenation and severe portopulmonary hypertension following liver transplantation: brief report

Amy C Chan-Dominy, Sarfaraz N Rahiman, Marc Anders, Warwick Butt

The International Journal of Artificial Organs | SAGE PUBLICATIONS LTD | Published : 2015

Abstract

BACKGROUND: Patients with severe portopulmonary hypertension (PoPH) responsive to medical therapy may be considered for liver transplantation. We present a case of extracorporeal membrane oxygenation (ECMO) resuscitation for PoPH crisis in a child following liver transplantation (LT), and review the literature on management of this challenging setting. CASE REPORT: A 7-year-old girl, with previous Kasai portoenterostomy and subsequent severe PoPH responsive to pulmonary vasodilator therapy, underwent orthotopic LT. Five days following surgery, she had an asystolic arrest with suprasystemic pulmonary hypertension, and was resuscitated with ECMO therapy. Multi-modal strategies included sildena..

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