Management of Cardiopulmonary Complications of CirrhosisReport as inadecuate

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International Journal of HepatologyVolume 2011 2011, Article ID 280569, 11 pages

Review ArticleDepartment of Gastroenterology, Lokmanya Tilak Municipal Medical College, Lokmanya Tilak Municipal General Hospital, Sion, Mumbai 400022, India

Received 18 February 2011; Accepted 12 May 2011

Academic Editor: Deepak Amarapurkar

Copyright © 2011 Prabha Sawant et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Advanced portal hypertension accompanying end-stage liver disease results in an altered milieu due to inadequate detoxification of blood from splanchnic circulation by the failing liver. The portosystemic shunts with hepatic dysfunction result in an increased absorption and impaired neutralisation of the gastrointestinal bacteria and endotoxins leads to altered homeostasis with multiorgan dysfunction. The important cardiopulmonary complications are cirrhotic cardiomyopathy, hepatopulmonary syndrome, portopulmonary hypertension, and right-sided hydrothorax.

Author: Prabha Sawant, C. Vashishtha, and M. Nasa



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