Challenges and strategies in managing severe portopulmonary hypertension during living donor liver transplantation: A clinical case study

Porto pulmonary hypertension (POPH) occurs in 2-10% of advanced liver disease cases. Preoperative screening and severity classification of POPH are crucial before liver transplantation. Living donor liver transplantation (LDLT) is recommended for patients who respond to medical therapy. Strategies to lower pulmonary artery pressure should begin at induction and continue through the postoperative period for successful management.