Author: Bohman, J Kyle; Findlay, James Y; Krowka, Michael J
Title: ECMO and POPH: More Help for the Right Heart. Cord-id: 28k38jid Document date: 2020_9_11
ID: 28k38jid
Snippet: The decision to offer liver transplantation (LT) in the presence of POPH is dependent upon improving pulmonary hemodynamics from baseline, as determined by right heart catheterization, and trying to optimize function of the right ventricle (RV) prior to surgery. Outcomes remain unpredictable 1 . Despite attaining these goals with the current buffet of pulmonary artery (PA) targeted therapies, the risks of LT remain significant. Hepatectomy may be complicated by severe bleeding with the transfusi
Document: The decision to offer liver transplantation (LT) in the presence of POPH is dependent upon improving pulmonary hemodynamics from baseline, as determined by right heart catheterization, and trying to optimize function of the right ventricle (RV) prior to surgery. Outcomes remain unpredictable 1 . Despite attaining these goals with the current buffet of pulmonary artery (PA) targeted therapies, the risks of LT remain significant. Hepatectomy may be complicated by severe bleeding with the transfusion of blood products stressing an already impaired right ventricle.
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