01 February 2025
: Case report 
Emergency ECMO Deployment During Liver Transplantation in Portopulmonary Hypertension Patients
Unusual clinical course, Management of emergency care, Clinical situation which can not be reproduced for ethical reasons
Joao Da Costa Rodrigues ABDEF 1, Corinne Gazarian BDE 1, Julien Maillard
CDEF 1, Gergely Albu DEF 1, Benjamin Assouline BCDE 2, Frédéric Lador DEF 3,4,5, Eduardo Schiffer ACDEF 1*
DOI: 10.12659/AJCR.946268
Am J Case Rep 2025; 26:e946268
Table 1. Preoperative hemodynamic parameters and treatments.
| Cardiac catheterization | 17.12.2018 | 29.06.2023 | 21.11.2023 | 29.01.2024 |
|---|---|---|---|---|
| RAP (mmHg) | 8 | 6 | ND | ND |
| mPAP (mmHg) | 55 | 36 | 50 | 39 |
| PCWP (mmHg) | ND | 14 | 9 | 3 |
| CI (l/min/m) | 3.53 | 3.6 | 3.8 | ND |
| MAP (mmHg) | 74 | 52 | ND | ND |
| SVR (WU) | 14.9 | 8.8 | ND | ND |
| PVR (WU) | 15.4 | 4.4 | 7.5 | 6 |
| RV function | Preserved | Preserved | Preserved | |
| TAPSE (cm) | ND | ND | 1.7 | |
| PA diameter (cm) | 3.8 | 5 | 3.6 | |
| Vmax TR (cm/s) | 403.1 | 373.8 | 407.2 | |
| Vmax PR (cm/s) | ND | 271.3 | Mild PR | |
| estimated mPAP (mmHg) | ND | 41 | ND | |
| Macitentan (mg) PO | 10 | 10 | 10 | 10 |
| Tadalafil (mg) PO | 20 | 20 | 20 | 20 |
| Spironolactone (mg) PO | 25 | 25 | 25 | |
| Epoprostenol (ng/kg/min) IV | 36 | 38 | 58 | |
| Torsemide (mg) PO | 2.5 | 2.5 | 2.5 | |
| RAP – right atrial pressure; mPAP – mean pulmonary artery pressure; PCWP – pulmonary capillary wedge pressure; CI – cardiac index; MAP – mean aortic pressure; SVR – systemic vascular resistance; PVR – pulmonary vascular resistance; RV – right ventricle; TAPSE – tricuspid annular plane systolic excursion; PA – pulmonary artery; Vmax TR – maximal velocity of tricuspid regurgitation; Vmax PR – maximal velocity of pulmonary regurgitation. | ||||