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Thoracic complications of liver cirrhosis: Radiologic findings

Title
Thoracic complications of liver cirrhosis: Radiologic findings
Authors
Kim Y.K.Kim Y.Shim S.S.
Ewha Authors
김유경심성신
SCOPUS Author ID
김유경scopus; 심성신scopus
Issue Date
2009
Journal Title
Radiographics
ISSN
0271-5333JCR Link
Citation
vol. 29, no. 3, pp. 825 - 837
Indexed
SCI; SCIE; SCOPUS WOS scopus
Abstract
Patients with chronic liver disease exhibit various cardiovascular and pulmonary complications. Hepatopulmonary syndrome results in dyspnea due to intrapulmonary arteriovenous shunting and ventilationperfusion mismatch. Portopulmonary hypertension occurs in patients with portal hypertension. Intrathoracic portosystemic collateral vascular pathways develop in patients with portal hypertension to allow decompression of the portal vein into the systemic circulation. Hepatic hydrothorax may develop in patients with cirrhosis and ascites. Massive necrosis of the liver from any cause may be associated with acute hypoxic respiratory failure, necessitating ventilatory support. Bacterial infection is common in cirrhotic patients because of a compromised host defense system. Hepatocellular carcinoma may produce hematogenous lung metastases, intrathoracic lymph node metastases, direct intracardiac extension, and pulmonary embolism. Interferon therapy for treatment of chronic active hepatitis C may disturb cellular immune activation in some patients and contribute to the onset and progression of sarcoidosis. Awareness of the various thoracic manifestations in chronic liver disease can be helpful for making a differential diagnosis and planning proper management. © RSNA, 2009.
DOI
10.1148/rg.293085093
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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