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Doctor insights on: Liver Transplant Performed Arterial Hypertension

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Could a liver transplant be performed with pulmonary arterial hypertension?

Could a liver transplant be performed with pulmonary arterial hypertension?

Depends: Phtn due to liver disease is curable with liver transplant. This is not very common. Most phtn is primary and related to established damage to the pulmonary circulation. In these cases, therapy with prostaglandin derivatives may help reverse this in a few patients, but most patients with severe phtn will not be candidates for liver transplant. ...Read more

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Dr. Jeffrey Satinover
324 doctors shared insights

Hypertension (Definition)

A blood pressure reading has two numbers: a systolic blood pressure and a diastolic blood pressure. The systolic blood pressure is the maximum pressure the blood exerts on the vessels when the heart is beating. The diastolic blood pressure is the pressure the blood exerts on the vessels in between heartbeats. Hypertension, or high blood pressure, begins when the systolic blood pressure remains above 140 or when the diastolic blood pressure remains above 90. Hypertension can be a result of increased blood flow through vessels or increased resistance to ...Read more


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What are the risks and benefits of stenting diseased blood vessels / heart bypass surgery / heart transplant / artificial heart valve transplant?

What are the risks and benefits of stenting diseased blood vessels / heart bypass surgery / heart transplant / artificial heart valve transplant?

Way too complex: This question is way to complex for a short text Q&A. Individual patient information is needed to really discuss risks and benefits. This discussion needs to be with a live cardiologist and/or cardiac surgeon. ...Read more

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Result of Angiography: three vessel coronary artery desease. preserved LV systolic function.what is best FOR MEAngioplasty or bypass operation?

Result of Angiography: three vessel coronary artery desease. preserved LV systolic function.what is best FOR MEAngioplasty or bypass operation?

Depends: If you're diabetic, CABG has better outcomes. If your LEFT MAIN coronary artery has >50% blockage, CABG has better outcomes. Aside from those 2 points, it depends on the skill of the team you have. If they do a lot of angioplasty, that would be preferred. If they don't but their surgical team is first rate, then that would be preferred. ...Read more

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Hcc stage 4, portal vein thrombosis and vascular participation AFP 70 GGT 350, age 80, no treatment is done. No physical symptoms. Prognosis?

Hcc stage 4, portal vein thrombosis and vascular participation AFP 70 GGT 350, age 80, no treatment is done. No physical symptoms. Prognosis?

Many factors: PVT and and age alone does not indicate prognosis. Child's score, performance status and the BCLC scoring system can help determine this. A multi-disciplinary team should review. In a patient with good performance status and PVT, with good liver function. AlB above 3.0, Tbili less than 2.0, could be treated with Y-90 therasphere and or Sorafenib. ...Read more

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Failure kidney transplant because recurrence of focal glomerulosclerosis also has global hypokinesia on dialysis no diabetics or heart disease . ?

Failure kidney transplant because recurrence of focal glomerulosclerosis also has global hypokinesia on dialysis no diabetics or heart disease . ?

Transplant: Focal segmental glomerulosclerosis or fsgs has recurrence rate of 10 % after transplant. You can get another transplant and decrease rate of recurrence by getting plasmapheresis and galactose therapy before next surgery. These therapies have been shown to reduce risk in selected group of patients. ...Read more

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Does dilated cardiomyopathy = heart transplant?

Does dilated cardiomyopathy = heart transplant?

No: Depending on the cause, medical treatment with beta blockers, an ace inhibitor or acecreceptor blocker can reverse the process. However, some patients are beyon medical therapy and need a transplant. ...Read more

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What occurs with renal failure and heart bypass surgery?

What occurs with renal failure and heart bypass surgery?

?worse?: Assuming that you are asking what will happen to chronic kidney disease when having cabg. High risk of worsening, possibly needing dialysis. You need to discuss your risks vs benefits with your doctor. ...Read more

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My aunt is alcoholic CT showed Atypical Hepatoma hypodense lesion in lobe 4 of liver abutting gall bladder splenomegaly varices & portal HTN. Rx?

My aunt is alcoholic CT showed Atypical Hepatoma hypodense lesion in lobe 4 of liver abutting gall bladder splenomegaly varices & portal HTN. Rx?

See GI doctor: Looks like that she has sustained major liver damage from the alcohol. She needs the expert care of a GI doctor and is at risk for upper GI hemorrhage as well. ...Read more

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Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?

Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?

Depends : Very low blood pressure sometimes hurts kidney function. The need for dialysis in the acute hospital setting is determined by complications of poor kidney function. Your physician can help explain this in the context of the specific patient. ...Read more

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What caused what? Dm, anemia, htn, hyperlipidemia, peripheral vascular disease, coronary art.Disease, pulm.Htn, copd, chf, afib, kidney dis., andcva?

What caused what? Dm, anemia, htn, hyperlipidemia, peripheral vascular disease, coronary art.Disease, pulm.Htn, copd, chf, afib,  kidney dis., andcva?

Difficult to say: Lot of the listed diagnoses may be caused by environmental or dietary habits like poor diet and tobacco use, although hereditary predilection may also play a role. Chronic effects of tobacco on the health of an individual has been extensively documented and it's listed at this cdc link: http://www.Cdc.Gov/tobacco/data_statistics/fact_sheets/health_effects/effects_cig_smoking/index.Htm. ...Read more

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What is post renal transplant hypertension?

What is post renal transplant hypertension?

Persistent High BP: About 90% of kidney transplant recipients have hypertension after the transplant. However, nearly all patients with kidney failure on dialysis have hypertension. This is not restricted to those who have lost their kidney function to uncontrolled hypertension. The reasons are many and include long-term damage to the blood vessels and heart, as well as drugs that cause retention of salt. ...Read more

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Are heart transplants typically performed with hypertrophic cardiomyopathy?

Are heart transplants typically performed with hypertrophic cardiomyopathy?

No: There are many people who have hypertrophic cardiomyopathies who do not require transplant and live productive lives. ...Read more

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Mother in law has pancreatitis twice, fatty liver, diabetes, high cholesterol & BP. Ultrasound shows lung nodule. Chance of cancerous? Or benign?

Mother in law has pancreatitis twice, fatty liver, diabetes, high cholesterol & BP. Ultrasound shows lung nodule. Chance of cancerous? Or benign?

NEEDS EVALUATION: There is no wasy of knowng what is causing the lung nodule without evauation, Nodules can be nothing, radiologic anomalies, infections, from bacteria or fungi , benign masses, lymph nodes or cancers. She needs followup radiologically and medically. ...Read more

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Are heart transplants typically performed for hypertrophic cardiomyopathy?

Are heart transplants typically performed for hypertrophic cardiomyopathy?

No: They are performed for dilated cardiomyopathy which is an entirely different disease. When surgery is required for hcm, it's usually a myotomy/myomectomy. ...Read more

Dr. James Chapman
3 doctors shared insights

Transplant (Definition)

In medicine: a transfer from one body or body part to another of an organ (liver, heart, lung, kidney, pancreas bowel) or tissue (hand, face, hair). The immune system fights foreign invaders (like infections) so it will reject transplants from other people (allotransplants) because they look like infections. So transplants usually require drugs to ...Read more


Dr. Andrew Seibert
2 doctors shared insights

Liver (Definition)

This organ plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of ...Read more