Echocardiographic detection of intrapulmonary shunting in a patient with hepatopulmonary syndrome: case report and review of the literature
| Autor: | Prasad V. Maddukuri, Richard Pacca, Natesa G. Pandian, Jeffrey T. Kuvin |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
medicine.medical_specialty
Pulmonary Circulation Cirrhosis Intracardiac injection Hypoxemia Internal medicine medicine Humans Arteriovenous shunting Radiology Nuclear Medicine and imaging Hepatopulmonary syndrome Niemann-Pick Diseases business.industry Intrapulmonary shunting Aortic Valve Stenosis Middle Aged medicine.disease Stenosis Dyspnea Echocardiography Cardiology Etiology Female Radiology medicine.symptom business Cardiology and Cardiovascular Medicine Hepatopulmonary Syndrome |
| Zdroj: | Echocardiography (Mount Kisco, N.Y.). 23(1) |
| ISSN: | 0742-2822 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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