Pulmonary hypertension following hepatopulmonary syndrome in a patient with cirrhosis.

@article{Mal1999PulmonaryHF,
  title={Pulmonary hypertension following hepatopulmonary syndrome in a patient with cirrhosis.},
  author={Herv{\'e} Mal and O Burgi{\`e}re and François Durand and Muriel Fartoukh and Alain Cohen-Sol{\'a}l and Margot Fournier},
  journal={Journal of hepatology},
  year={1999},
  volume={31 2},
  pages={360-4}
}
We report the case of a patient with liver cirrhosis who successively developed hepatopulmonary syndrome and portopulmonary hypertension. Initially, the patient presented with severe dyspnea and hypoxemia at rest. Technetium-99 macroaggregated albumin lung perfusion scan demonstrated right-to-left shunt, and hemodynamic study revealed a hyperdynamic state with low pulmonary vascular resistance, thus confirming the diagnosis of hepatopulmonary syndrome. More than 2 years after the onset of… CONTINUE READING