Abstract

VASQUEZ RODRIGUEZ, JUAN FELIPE; YURGAKI, JAMES MILTON  and  RADA ESCOBAR, ROBIN. PULMONARY COMMITMENT IN HEPATIC DISEASE: UMA ATUALIZAÇÃO. rev.fac.med [online]. 2017, vol.25, n.1, pp.102-113. ISSN 0121-5256.  https://doi.org/10.18359/rmed.2925.

Liver disease is a major cause of morbidity and mortality in the world; it is associated with multiple organ involvement. In the lung, three clinical conditions are described; these conditions include, Hepatopulmonary Syndrome (HPS), which is due to a oxygenation defect by the development of pulmonary vascular dilatation. Portopulmonary (HPP) hypertension, it's mediated by an imbalance between vasodilator and vasoconstrictor agents leading to an increase in mean pulmonary artery pressure and finally the Hydrothorax Liver (HH), that is the least prevalent condition, it's based on anatomical diaphragm abnormalities, with or without ascites. The presence of SHP or HPP is an independent predictor of mortality, highlighting its importance in the eligibility of patients for orthotopic liver transplantation as a curative measure.

Keywords : Cirrhosis; Hepatopulmonary syndrome; hypertension portopulmonary; Hydrothorax Liver; Liver Transplantation.

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