+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Echocardiographic detection of intrapulmonary shunting in a patient with hepatopulmonary syndrome: case report and review of the literature



Echocardiographic detection of intrapulmonary shunting in a patient with hepatopulmonary syndrome: case report and review of the literature



Echocardiography 23(1): 56-59



Transthoracic echocardiography is a useful tool in the evaluation of patients with intrapulmonary and intracardiac shunts. We describe a case of a 49-year-old female with severe hypoxemia in the setting of aortic stenosis and cirrhosis of the liver. The use of agitated saline contrast during an echocardiography study helped to establish the diagnosis of intrapulmonary arteriovenous shunting consistent with the hepatopulmonary syndrome, thereby confirming the etiology of her symptoms and laboratory findings. This case report highlights the utility of echocardiography in diagnosing intrapulmonary shunts and assists in the understanding of the pathophysiology of hypoxemia in such patients.

Accession: 048854726

Download citation: RISBibTeXText

PMID: 16412185

DOI: 10.1111/j.1540-8175.2005.00131.x


Related references

Improvement of hepatopulmonary syndrome after transjugular intrahepatic portasystemic shunting: case report and review of literature. Pediatric Transplantation 7(2): 157-162, 2003

Reversion of severe hepatopulmonary syndrome in a non cirrhotic patient after corticosteroid treatment for granulomatous hepatitis: a case report and review of the literature. World Journal of Gastroenterology 12(2): 336-339, 2006

Intrapulmonary shunting and hepatopulmonary syndrome. Hospital Medicine 66(5): 312-313, 2005

Hepatopulmonary syndrome: case report and literature review. Revista Portuguesa de Pneumologia 16(4): 679-685, 2010

The hepatopulmonary syndrome: a case report and review of the literature. Wmj 99(6): 29, 2000

Hepatopulmonary syndrome in HIV-hepatitis C virus coinfection: a case report and review of the literature. Clinical Infectious Diseases 39(3): E25, 2004

Cryptogenic Cirrhosis and Hepatopulmonary Syndrome in a Boy with Hepatic Hemangioma in Botswana: A Case Report and Review of the Literature. Case Reports in Pediatrics 2017: 7940365, 2017

A case report of hepatopulmonary syndrome in hereditary hemorrhagic telangiectasia (HHT): Not all right-to-left shunting in HHT is due to pulmonary arteriovenous malformations. Medicine 97(32): E11513, 2018

Successful venoarterial extracorporeal membrane oxygenation for prolonged hepatopulmonary syndrome following pediatric liver transplantation: A case report and review of the literature. Pediatric Transplantation 21(7):, 2017

Anesthetic management of patient with hemophilia a undergoing emergency ventriculoperitoneal shunting: A case report and review of literature. Saudi Journal of Anaesthesia 10(4): 474-476, 2016

Hepatopulmonary syndrome: a case report and literature update. Connecticut Medicine 62(7): 391-394, 1998

Hepatopulmonary hydatidosis: pediatric case report and literature review. Medwave 14(11): E6053, 2014

Intrapulmonary teratoma: a case report and review of the literature. Journal of Thoracic Imaging 7(3): 70-77, 1992

Intrapulmonary teratoma: case report and review of the literature. Fortschritte der Medizin 97(22): 1051-1054, 1979

Intrapulmonary lipoma: a case report and literature review. World Journal of Pediatrics 11(2): 185-187, 2015