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Hepatopulmonary syndrome as a cause of persistent hypoxaemia
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A 38 year old man, submitted for orthotopic liver transplantation for α1 antitrypsin deficit hepatic cirrhosis, was admitted to the intensive care unit for postoperative monitoring. Ventilatory weaning was difficult because of severe hypoxaemia even using high FIo2 (Pao2 < 60 mm Hg for FIo2 of 0.7). …