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KMID : 0880420100110040485
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Korean Journal of Radiology
2010 Volume.11 No. 4 p.485 ~ p.489
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Pulmonary Artery Embolotherapy in a Patient with Type I Hepatopulmonary Syndrome after Liver Transplantation
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Lee Hae-Won
Suh Kyung-Suk
Lee Kuhn-Uk
Yi Nam-Joon
Shin Woo-Young
Oh So-Won
Kang Keon-Wook
Kim Joo-Hyun
Jae Hwan-Jun
Chung Jin-Wook
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Abstract
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Although liver transplantation (LT) is the only effective treatment option for hepatopulmonary syndrome (HPS), the post-LT morbidity and mortality have been high for patients with severe HPS. We performed post-LT embolotherapy in a 10-year-old boy who had severe type I HPS preoperatively, but he failed to recover early from his hypoxemic symptoms after an LT. Multiple embolizations were then successfully performed on the major branches that formed the abnormal vascular structures. After the embolotherapy, the patient had symptomatic improvement and he was discharged without complications.
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KEYWORD
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Hepatopulmonary syndrome, Pulmonary vasodilatation, Intrapulmonary arteriovenous shunt, Embolization, Liver transplantation
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