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  • Title: Anaesthesia for caesarean section in a patient with Budd-Chiari syndrome and hepatopulmonary syndrome post liver transplantation.
    Author: Jones TL, O'Beirne J, Goode A, Harrison S.
    Journal: Int J Obstet Anesth; 2011 Apr; 20(2):169-73. PubMed ID: 21169012.
    Abstract:
    Hepatopulmonary syndrome is characterised by hypoxaemia and intrapulmonary shunting in the presence of portal hypertension. It is uncommon in the obstetric population but may occur in patients with Budd-Chiari syndrome in the absence of severe liver dysfunction. We discuss the management of a primigravida with Budd-Chiari syndrome and persistent hepatopulmonary syndrome post liver transplantation. A literature review revealed only one report of a successful pregnancy in association with hepatopulmonary syndrome. We discuss its recognition in patients with liver disease and anaesthetic considerations in its presence.
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