SciELO - Scientific Electronic Library Online

 
vol.24 número4Entrenamiento físico y educación como parte de la rehabilitación pulmonar en pacientes con EPOCCompromiso pleural en la leucemia de células plasmáticas: Reporte de un caso índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

Compartir


Revista chilena de enfermedades respiratorias

versión On-line ISSN 0717-7348

Resumen

ZAGOLIN B, MÓNICA; MEDEL F, JUAN NICOLÁS  y  VALERA M, JOSÉ. Hepatopulmonary syndrome and portopulmonary hypertension: Two distinct entities. Rev. chil. enferm. respir. [online]. 2008, vol.24, n.4, pp.291-303. ISSN 0717-7348.  http://dx.doi.org/10.4067/S0717-73482008000400004.

The clinical course ofpatients with portal hypertension or liver disease may be complicated by two low prevalence entities with high morbimortality: the hepatopulmonary syndrome (HPS) and portopulmonary hypertension (PPHT). Each one is a consequence ofan impaired hepatic clearance of several vascular mediators, triggering vasodilation of the pulmonary vascular territory in HPS and vasoconstriction with vessel remodelation in PPHT. Both disorders have some similar clinical findings, but useful findings for differential diagnosis are the presence ofplatypnoea and orthodeoxia in HPS, and echocardiographic extracardiac and intrapulmonary shunt in HPS or pulmonary hypertension in PPHT. Currently, liver transplantation is the only effective treatment for both entities provided that indication and timing must be accurately evaluated. We present a review and three cases ofboth entities.

Palabras clave : Hepatopulmonary syndrome; portopulmonary hypertension; liver cirrhosis; portal hypertension.

        · resumen en Español     · texto en Español     · Español ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons