Hepatopulmonary Syndrome: A Brief Review

Hepatopulmonary syndrome (HPS) is a pulmonary complication of liver disease characterized by arterial hypoxemia. Mechanisms related to this event are diffusion-perfusion flaw, ventilation-perfusion (V/Q) mismatch, and direct arteriovenous shunts. Diagnosis of HPS is based on the presence of liver di...

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Main Authors: Amin Zulkifli, Amin Hilman Zulkifli, Tedyanto Nadim Marchian
Format: Article
Language:English
Published: Sciendo 2016-06-01
Series:Romanian Journal of Internal Medicine
Subjects:
Online Access:https://doi.org/10.1515/rjim-2016-0015
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author Amin Zulkifli
Amin Hilman Zulkifli
Tedyanto Nadim Marchian
author_facet Amin Zulkifli
Amin Hilman Zulkifli
Tedyanto Nadim Marchian
author_sort Amin Zulkifli
collection DOAJ
description Hepatopulmonary syndrome (HPS) is a pulmonary complication of liver disease characterized by arterial hypoxemia. Mechanisms related to this event are diffusion-perfusion flaw, ventilation-perfusion (V/Q) mismatch, and direct arteriovenous shunts. Diagnosis of HPS is based on the presence of liver disease or portal hypertension, increased alveolar-arterial (A-a) PO2, and intrapulmonary vascular dilatations (IPVD). Lung transplantation (LT) remains the most effective therapy for HPS. In spite of its poor prognosis, we could improve the quality of life and survival rate of patients.
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spelling doaj.art-f904e5d04891498a93c5e34f930ed1752022-12-22T01:54:54ZengSciendoRomanian Journal of Internal Medicine2501-062X2016-06-01542939710.1515/rjim-2016-0015rjim-2016-0015Hepatopulmonary Syndrome: A Brief ReviewAmin Zulkifli0Amin Hilman Zulkifli1Tedyanto Nadim Marchian2Division of Respirology and Critical Care, Department of Internal Medicine, Faculty of Medicine, University of Indonesia, Jakarta, IndonesiaDepartment of Internal Medicine, Faculty of Medicine, University of Indonesia, Jakarta, IndonesiaFaculty of Medicine, University of Indonesia, Jakarta, IndonesiaHepatopulmonary syndrome (HPS) is a pulmonary complication of liver disease characterized by arterial hypoxemia. Mechanisms related to this event are diffusion-perfusion flaw, ventilation-perfusion (V/Q) mismatch, and direct arteriovenous shunts. Diagnosis of HPS is based on the presence of liver disease or portal hypertension, increased alveolar-arterial (A-a) PO2, and intrapulmonary vascular dilatations (IPVD). Lung transplantation (LT) remains the most effective therapy for HPS. In spite of its poor prognosis, we could improve the quality of life and survival rate of patients.https://doi.org/10.1515/rjim-2016-0015hepatopulmonary syndromeliver cirrhosisliver diseaselung diseaseportal hypertension
spellingShingle Amin Zulkifli
Amin Hilman Zulkifli
Tedyanto Nadim Marchian
Hepatopulmonary Syndrome: A Brief Review
Romanian Journal of Internal Medicine
hepatopulmonary syndrome
liver cirrhosis
liver disease
lung disease
portal hypertension
title Hepatopulmonary Syndrome: A Brief Review
title_full Hepatopulmonary Syndrome: A Brief Review
title_fullStr Hepatopulmonary Syndrome: A Brief Review
title_full_unstemmed Hepatopulmonary Syndrome: A Brief Review
title_short Hepatopulmonary Syndrome: A Brief Review
title_sort hepatopulmonary syndrome a brief review
topic hepatopulmonary syndrome
liver cirrhosis
liver disease
lung disease
portal hypertension
url https://doi.org/10.1515/rjim-2016-0015
work_keys_str_mv AT aminzulkifli hepatopulmonarysyndromeabriefreview
AT aminhilmanzulkifli hepatopulmonarysyndromeabriefreview
AT tedyantonadimmarchian hepatopulmonarysyndromeabriefreview