Clinical case of severe portopulmonary hypertension in patient with liver cyrrosis of virus origin


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

The article presents a clinical case of very severe portopulmonary hypertension in a patient with Child-Pugh class C and MELD 19 liver cirrhosis as the outcome of chronic viral hepatitis B. It has been shown that antiviral therapy and treatment of pulmonary hypertension led to the stabilization of the condition and even a slight decrease in pulmonary hypertension, and improvement of liver functional parameters.

Full Text

Restricted Access

About the authors

T. V Ermolova

FSBEI HE “North-Western State Medical University n.a. I.I. Mechnikov" of RMH

Email: t.v.ermolova@mail.ru
PhD, Associate Professor at the Department of faculty therapy

E. G Bykova

FSBEI HE “North-Western State Medical University n.a. I.I. Mechnikov" of RMH

A. L Petrov

City Multidisciplinary Hospital № 2, St. Petersburg

A. O Nesterko

City Multidisciplinary Hospital № 2, St. Petersburg

References

  1. Mantz F.A., Craige E. Portal Axis Thrombosis with Spontaneous Portocaval Shunt and Resultant cor Pulmonale. Arch. of Path. 1951;52(1):91-7.
  2. Herve P., Liberec D., Brenot F., Simonneau G., Humbert M., Sitbon O., Duroux P. Pulmonary Vascular Disorders in Portal Hypertension. Europ. Resp. J. 1998;11(5):1153-66.
  3. Rubin L.Y. Primary Portal Hypertension ACCP Consensus Statement. Chest. 1993;104(1):236-50.
  4. Portopulmonaty Hypertension. Jawad Ahmad (Chapter 24). Hepatology Expert Guides 2014;271-79.
  5. Lee S., Moreau R. Cirrhosis: a Practice Guidelines to Management, WILEY-Blackwell, 2015. 352 p.
  6. Le Pavec J., Souza R., Herve P., Lebrec D., Savale L., Tcherakian C., Jaïs X., Yaïci A., Humbert M., Simonneau G., Sitbon O. Portipulmonary hypertension: survival and prognostic factors. Am. J. Respir. Crit. Care. Med. 2008;178:637-43.
  7. Чазова И.Е., Авдеев С.Н., Царева Н.А., Волков А.В. и др. Клинические рекомендации по диагностике и лечению легочной гипертензии. Тер. архив. 2014;9:4-23.
  8. Guidelines for the diagnosis and treatment of pulmonary hypertension. Update 2009. European society of cardiology. Eur. Heart J. 2009;30:2493-537.
  9. Рекомендации ESC/ERS по диагностике и лечению легочной гипертензии 2015. Росс. кардиол. журн. 2016;5(133).
  10. EASL Clinical Practice Guidelines: Management of Chronic Hepatitis B viral infection. J. Hepatol. 2012;57:167-85.

Supplementary files

Supplementary Files
Action
1. JATS XML

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies