Smoking and hypoxemia caused by hepatopulmonary syndrome before and after liver transplantation
Giovanni Rolla, Luisa Brussino, Luca Dutto, Antonio Ottobrelli, Caterina Bucca – 30 December 2003 – Severe hypoxemia may occur in patients with liver disease as a result of abnormal intrapulmonary vasodilatations (hepatopulmonary syndrome, HPS). Liver transplantation (LT) is the only effective treatment of HPS, with a quite variable delay of improvement of oxygenation. Smoking, by decreasing respiratory nitric oxide (NO), apparently contributed to improved oxygenation in a 44‐year‐old man with alcohol‐induced cirrhosis, complicated by HPS, who underwent LT.