2010年1月
Successful treatment of pulmonary hypertension secondary to congenital extrahepatic portocaval shunts (Abernethy type 2) by living donor liver transplantation after surgical shunt ligation
TRANSPLANT INTERNATIONAL
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- 巻
- 23
- 号
- 1
- 開始ページ
- 105
- 終了ページ
- 109
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.1111/j.1432-2277.2009.00964.x
- 出版者・発行元
- WILEY-BLACKWELL PUBLISHING, INC
P>In this report, we describe a living donor liver transplantation (LDLT) in a patient (7-year-old boy) with Abernethy type 2 congenital extrahepatic portocaval shunts (CEPS). This patient underwent a surgical shunt ligation as the first treatment for pulmonary hypertension; pulmonary hypertension was improved and controlled successfully 4 years after the first operation. However, pulmonary hypertension recurred gradually because of multiple intrahepatic portosystemic shunts; therefore, LDLT was performed as a radical treatment of intrahepatic portosystemic shunts. His pulmonary arterial pressure was also controlled 22 months after LDLT, the postoperative continuous intravenous prostaglandin I(2) (PGI(2)) treatment could be withdrawn successfully. We suggest that clinicians carefully follow up the recurrent portosystemic shunt and cardiopulmonary disorders secondary to Abernethy type 2 CEPS.
- リンク情報
- ID情報
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- DOI : 10.1111/j.1432-2277.2009.00964.x
- ISSN : 0934-0874
- PubMed ID : 19761556
- Web of Science ID : WOS:000272170700014