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Postoperative Management of Living Donor Liver Transplantation for Extrahepatic Biliary Atresia with Intrapulmonary Shunting: Report of A Case


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Title: Postoperative Management of Living Donor Liver Transplantation for Extrahepatic Biliary Atresia with Intrapulmonary Shunting: Report of A Case
Authors: Ohno, Yasuharu / Susumu, Seiya / Matsuzaki, Sumihiro / Azuma, Takashi / Fujioka, Hikaru / Furui, Junichiro / Tanaka, Koichi / Kanematsu, Takashi
Issue Date: Jun-2004
Citation: Acta medica Nagasakiensia. 2004, 49(1-2), p.51-54
Abstract: A six-year-old girl with biliary atresia underwent a living donor liver transplantation because of deteriorating intrapulmonary shunting related to portal hypertension. Following transplantation, the patient's oxygenation improved after the tenth postoperative day and returned to normal within thirty days. The important points of early post-transplantation management for intrapulmonary shunting are as follows: 1) coping with large volume of sputum and thus, if necessary, a prompt tracheotomy should be performed; 2) when dealing with persistent hypoxemia, it is essential to maintain the preoperative oxygenation levels and avoid any outflow disturbance of the graft liver; and 3) the prevention of the fatal vascular thrombosis. Phlebotomy to correct the presence of underlying polycythemia is also required.
Keywords: Livertransplantation / Intrapulmonaryshunting / Postoperativemanagement
URI: http://hdl.handle.net/10069/9265
ISSN: 00016055
Relational Links: http://joi.jlc.jst.go.jp/JST.JSTAGE/amn/49.51
Type: Departmental Bulletin Paper
Text Version: publisher
Appears in Collections:Volume 49, No. 1-2

Citable URI : http://hdl.handle.net/10069/9265

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