Hepatology. 2020 Jun 9. doi: 10.1002/hep.31415. Online ahead of print.
ABSTRACT
Portopulmonary hypertension (POPH), defined as an increased mean pulmonary artery pressure (mPAP) and pulmonary vascular resistance (PVR) in the setting of portal hypertension, is a commonly misunderstood pulmonary vascular complication of liver disease. Recent literature has expanded our knowledge regarding disease pathogenesis, the role of pulmonary arterial hypertension (PAH) targeted therapy and liver transplantation (LT) in management, and long-term outcomes. However, many myths and misconceptions regarding POPH prognosis and treatment remain. The aim of this review is to examine the prevailing myths and current realities regarding POPH.
PMID:32515501 | DOI:10.1002/hep.31415