Surgical Options for Severe Pulmonary Hypertension

• Lung Transplantation: Considered for patients with refractory disease despite medical therapy.
• Atrial Septostomy: Creates an opening between heart chambers to reduce pressure; used in severe cases.

Surgical Options for Liver Cirrhosis

• Liver Transplantation: Primary option for advanced cirrhosis with liver failure.
• TIPS Procedure: Used to manage portal hypertension by creating a shunt within the liver.

Combined Considerations and Multidisciplinary Approach

• Coordination between pulmonologists, hepatologists, and transplant surgeons is crucial.
• Comprehensive evaluation of overall health to assess surgical eligibility.

Next Steps and Recommendations

• Consult specialized centers for complex case management.
• Ensure thorough diagnostic workup and personalized treatment planning.
• Continue supportive care and medical management alongside surgical options.