Aborting a Case of Living Donor Liver Transplantation Due to Pulmonary Hypertension: A Case Report

Abstract

Limited data suggest Liver Transplantation (LT) is considered high risk when moderate to severe Porto-Pulmonary Hypertension (POPH) (MPAP>35mm Hg) via right heart catheterization is documented. A literature review and multicenter data collection have documented up to 36% post-transplant in-hospital mortality in untreated patients when pre-LT MPAP exceeds moderate levels (>35mm Hg) [1]. In the early experience of POPH-LT case reporting, it was noted that 65% of all POPH cases were first diagnosed in the operating theater at the time of LT. Intraoperative death due to right heart failure was not infrequent [2].