Human natriuretic factor in cirrhotic patients undergoing orthotopic liver transplantation

Pasquale Piccinni, Lorenzo Rossaro, Agnese Graziotto, Antonio Tripepi, Leonardo Meneghetti, Paolo Inturri, Patrizia Burra, Thrinadha Polamarasetti Rao, Mario Plebani, Diego Faggian

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


We measured the plasma levels of atrial natriuretic factor (ANF) during orthotopic liver transplantation (OLT) in eight adult patients with cirrhosis and ascites. The aim of this study was to determine whether significant differences in ANF concentration may be detected during the individual phases of OLT and to correlate these changes with hemodynamics. In each patient a hemodynamic assessment was achieved using a Swan-Ganz fiber optic catheter for continuous monitoring of cardiac output (CO), systemic vascular resistance index (SVRI), right filling pressure as assessed by central venous pressure (CVP), and left filling pressure by means of pulmonary arterial wedge pressure (PAWP). During reperfusion a clear-cut increase in ANF values was observed (P<0.05). Concurrently, an increase in CVP (P<0.05) and a decrease in SVRI were observed without any significant increase in diuresis. These data suggest that ANF might play a role in the development of the reperfusion syndrome.

Original languageEnglish (US)
Pages (from-to)51-54
Number of pages4
JournalTransplant International
Issue number1
StatePublished - Jan 1995
Externally publishedYes


  • Atrial natriuretic factor, liver transplantation
  • Liver transplantation, atrial natriuretic factor

ASJC Scopus subject areas

  • Transplantation


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