Hepatopulmonary syndrome and portopulmonary hypertension

The monograph reflects modern views on the etiology, pathogenesis, diagnosis, features of the clinical course and methods of treatment of hepatopulmonary syndrome and portopulmonary hypertension in patients with liver cirrhosis. After a brief consideration of the peculiarities of portal and pulmonary hemodynamics as well as changes of the liver structure and function in this pathology, we describe in details the main hepatological syndromes and extrahepatic manifestations. A very profound analysis of various pathogenetic mechanisms of respiratory dysfunctions formation in chronic diffuse liver diseases is carried out, a clear algorithm, helping a practical doctor in stating the diagnosis and carrying out differential diagnostics of rare liver cirrhosis complications, is given. The monograph presents modern research methods, used for diagnostics of hepatopulmonary syndrome and portopulmonary hypertension; it gives the latest recommendations of the European Society of Cardiology and the European Respiratory Society in the choice of medical correction and optimal management tactics of cirrhosis patients with these complications.

The monograph reflects modern views on the etiology, pathogenesis, diagnosis, features of the clinical course and methods of treatment of hepatopulmonary syndrome and portopulmonary hypertension in patients with liver cirrhosis. After a brief consideration of the peculiarities of portal and pulmonary hemodynamics as well as changes of the liver structure and function in this pathology, we describe in details the main hepatological syndromes and extrahepatic manifestations. A very profound analysis of various pathogenetic mechanisms of respiratory dysfunctions formation in chronic diffuse liver diseases is carried out, a clear algorithm, helping a practical doctor in stating the diagnosis and carrying out differential diagnostics of rare liver cirrhosis complications, is given. The monograph presents modern research methods, used for diagnostics of hepatopulmonary syndrome and portopulmonary hypertension; it gives the latest recommendations of the European Society of Cardiology and the European Respiratory Society in the choice of medical correction and optimal management tactics of cirrhosis patients with these complications.