Successful venoarterial extracorporeal membrane oxygenation for prolonged hepatopulmonary syndrome following pediatric liver transplantation: A case report and review of the literature

Pediatr Transplant. 2017 Nov;21(7). doi: 10.1111/petr.13036. Epub 2017 Aug 19.

Abstract

HPS is a major complicating feature of end-stage liver disease. Diagnosis is clinical, and LT is the only definitive treatment. While the general impression is that HPS improves quickly after transplantation, it may not always be the case. We describe the smallest reported child with HPS prior to LT and requiring prolonged venoarterial extracorporeal membrane oxygenation after LT; especially as it is a rare occurrence, physician managing such cases should be aware of the circumstances under which HPS may require specific treatment.

Keywords: extracorporeal membrane oxygenation; hepatopulmonary syndrome; liver transplantation.

Publication types

  • Case Reports
  • Review

MeSH terms

  • End Stage Liver Disease / complications
  • End Stage Liver Disease / surgery*
  • Extracorporeal Membrane Oxygenation / methods*
  • Female
  • Hepatopulmonary Syndrome / etiology
  • Hepatopulmonary Syndrome / therapy*
  • Humans
  • Infant
  • Liver Transplantation*
  • Postoperative Care / methods*