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  • Title: Resolution of severe hepato-pulmonary syndrome following transjugular portosystemic shunt procedure.
    Author: Wallace MC, James AL, Marshall M, Kontorinis N.
    Journal: BMJ Case Rep; 2012 Jun 01; 2012():. PubMed ID: 22669921.
    Abstract:
    The hepato-pulmonary syndrome (HPS) is a relatively common complication of hepatic disease that leads to hypoxaemia and dyspnoea secondary to pulmonary shunting. A number of pharmacological therapies have been trialled, yet liver transplantation remains the only definitive treatment. The use of a transjugular intrahepatic portosystemic shunt (TIPS) to reduce portal hypertension and improve oxygenation remains controversial in HPS due to the lack of large clinical series or randomised controlled trials. We present a case of HPS successfully treated with TIPS and review the relevant literature.
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