Luis Fernando González

Síndrome hepatopulmonar y trasplante hepático

Palabras clave: Anestesia, trasplante hepatico ortotopico, sindrome hepatopulmonar. SummARY Hepatopulmonary syndrome is a clinical entity that severely impairs functional status of patients with end stage liver disease. Natural course of this syndrome is unpredictable once it has been diagnosed. However it is known that its prognosis is serious, slowly progressive and although cause of death is often related to liver disease, quality of life in these patients is sig niicantly impaired by the additional ventilatory disorder. It is actuall y considered that liver transplantation, in selected cases, can lead to complete resolution of this syndrome and so success in the perioperative management is directly related to the knowledge of the pathophysiology process.