TABLE 1.
Characteristic | |
---|---|
Female | 11, 68.8% |
Age at pulmonary hypertension diagnosis, y | 50 (41–57) |
Age at LT, y | 51 (45–58) |
Liver disease pathogenesis | |
Alcohol | 7, 43.8% |
Hepatitis C | 7, 43.8% |
Nonalcoholic steatohepatitis | 1, 6.3% |
Cryptogenic cirrhosis | 2, 12.5% |
Autoimmune hepatitis | 1, 6.3% |
Primary sclerosing cholangitis | 1, 6.3% |
Other | 2, 12.5% |
MELD-Na score at LT | 18 (11–31) |
Portopulmonary hypertension MELD exception | 7, 43.8% |
Initial pulmonary hemodynamics | |
Mean pulmonary artery pressure, mm Hg | 48 (44–54) |
Pulmonary artery wedge pressure, mm Hg (n = 15) | 12 (8–17) |
Transpulmonary gradient, mm Hg (n = 15) | 36 (30–39) |
Right atrial pressure, mm Hg (n = 15) | 10 (5–18) |
Cardiac output, L/min (n = 15) | 5.8 (5.4–7.4) |
Cardiac index, L/min/m2 (n = 15) | 3.0 (2.8–3.6) |
Pulmonary vascular resistance, dynes-s-cm−5 (n = 15) | 455 (344–592) |
Pretransplant pulmonary hemodynamics | |
Mean pulmonary artery pressure, mm Hg | 38 (35–42) |
Pulmonary artery wedge pressure, mm Hg (n = 15) | 20 (14–22) |
Transpulmonary gradient, mm Hg (n = 15) | 20 (18–23) |
Right atrial pressure, mm Hg (n = 15) | 13 (10–14) |
Cardiac output, L/min | 8.5 (7.3–9.8) |
Cardiac index, L/min/m2 (n = 14) | 4.4 (4.1–5.2) |
Pulmonary vascular resistance, dynes-s-cm−5 (n = 15) | 191 (172–216) |
Time between pretransplant right heart catheterization and liver transplant, d | 40 (11–72) |
PAH therapy at LT | |
Phosphodiesterase 5 inhibitor | 10, 62.5% |
Endothelin receptor antagonist | 3, 18.8% |
Parenteral prostacyclin therapy | 8, 50% |
Inhaled nitric oxide | 1, 6.3% |
Outcomes | |
Acute cardiopulmonary related mortality within 30 d of LT | 1, 6.3% |
1-y survival | 11, 68.8% |
Off PAH therapy at 1 y | 7/11, 63.6% |
Data reported as number, % or median (range). Individual patients may have had >1 liver disease etiology and may have been treated with >1 pulmonary arterial hypertension targeted therapy.
LT, liver transplantation; MELD-Na, model for end-stage liver disease sodium; PAH, pulmonary arterial hypertension.