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Seminars in Cardiothoracic and Vascular Anesthesia
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1089253209334615v1
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Article

Pulmonary Manifestations of Liver Diseases

Hanny Yeshua, Laurie M. Blendis, and Ran Oren*

* To whom correspondence should be addressed. E-mail: roren{at}tasmc.health.gov.il.


   Abstract
Respiratory problems are common in patients with chronic liver diseases. The most common causes are disorders that are not related to liver diseases such as asthma and COPD. In addition certain liver diseases that are associated with specific pulmonary abnormalities, and conditions associated with end stage liver disease like tense ascites and intercostal muscular wasting are considered. Finally two unique disorders characterizing by vascular abnormalities independent of cardiorespiratory disorder-the hepatopulmonary syndrome (HPS) and portopulmonary hypertension (POPH) are observed. These disorders have different pathogenesis, different clinical pictures, treatment and prognosis. This article reviews the epidemiology, pathophysiology, clinical features, evaluation and current therapy of these two disorders.

First published on March 31, 2009, doi:10.1177/1089253209334615

Seminars in Cardiothoracic and Vascular Anesthesia 2009;13:60.

A more recent version of this article appeared on March 1, 2009


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