New therapeutic strategy with extracorporeal membrane oxygenation for refractory hepatopulmonary syndrome after liver transplant: A case report

doi:10.5500/wjt.v14.i1.89223

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Publication Name

World Journal of Transplantation

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2220-3230

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Case Report

World J Transplant. Mar 18, 2024; 14(1): 89223
Published online Mar 18, 2024. doi: 10.5500/wjt.v14.i1.89223

New therapeutic strategy with extracorporeal membrane oxygenation for refractory hepatopulmonary syndrome after liver transplant: A case report

Julio Santoyo-Santoyo, Claudia Sanchez-Gonzalez, Jose Antonio Perez Daga, Julio Santoyo Villalba, Jose Aranda Narvaez, María Pérez Reyes, Belinda Sánchez Pérez

Belinda Sánchez Pérez, María Pérez Reyes, Jose Aranda Narvaez, Julio Santoyo Villalba, Jose Antonio Perez Daga, Julio Santoyo-Santoyo, Hepatobiliary and Trasplantation Unit, General and Digestive Surgery Department, University Regional Hospital, Malaga 29010, Spain

Claudia Sanchez-Gonzalez, Department of General and Digestive Surgery, Regional University Hospital of Malaga, Malaga 29010, Spain

Author contributions: Sánchez Pérez B wrote the manuscript; Santoyo-Santoyo J, Perez Reyes M, and Santoyo Villalba J performed the research; Aranda Narvaez J and Sánchez Pérez B performed the surgery; Perez Daga JA analyzed the data; Sanchez-Gonzalez C translated and submitted the manuscript.

Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.

Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.

CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).

Corresponding author: Claudia Sanchez-Gonzalez, MD, Doctor, Department of General and Digestive Surgery, Regional University Hospital of Malaga, No. 84 Av. de Carlos Haya, Malaga 29018, Spain. csangon95@gmail.com

Received: October 24, 2023
Peer-review started: October 24, 2023
First decision: November 21, 2023
Revised: November 24, 2023
Accepted: December 22, 2023
Article in press: December 22, 2023
Published online: March 18, 2024
Processing time: 142 Days and 22.3 Hours

Core Tip

Core Tip: Extracorporeal membrane oxygenation (ECMO) has been used as a rescue therapy in refractory hypoxemia after liver transplant (LT) in hepatopulmonary syndrome (HPS), with positive results. We present a patient with HPS who underwent LT and developed refractory hypoxemia requiring postoperative ECMO support. The literature demonstrates an 80% survival rate with an acceptable morbi-mortality. ECMO can become the central axis in the treatment of patients with HPS which present with refractory hypoxemia after LT.