Hypoxemia with stress cardiomyopathy following liver transplant: Is there a role for nitric oxide? - A case report
Hypoxemia with stress cardiomyopathy following liver transplant: Is there a role for nitric oxide? - A case report
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Patients with liver disease can have varied Sulforaphane cardiac manifestations including pulmonary arteriovenous dilatation.The stress of surgery associated with catecholamine surges can also potentiate stress-related changes.We report management of hypoxemia in a patient who underwent liver transplantation.Although her preoperative oxygenation (SpO2 97%) measured 2 weeks earlier was normal, she manifested hypoxemia on the day of surgery and cardiovascular failure perioperatively.Postoperative investigations revealed a stress cardiomyopathy.
The cause of persistent and refractory hypoxemia was uncertain in the context of normal preoperative tests.However, she responded immediately to inhaled nitric oxide, suggesting Diabetes Monitoring - Lancets and Lancing Devices a correction of ventilation perfusion dynamics.We wish to highlight a possible role of nitric oxide in postoperative liver transplant patients with refractory hypoxemia of uncertain etiology.