title: Pulmonary hypertension as a result of asymptomatic portosystemic shunt.
abstract: This report describes a patient with severe pulmonary hypertension accompanied by a congenital intrahepatic portosystemic shunt. Primary pulmonary hypertension was suspected initially because none of the classic symptoms of a portosystemic shunt were present. Physicians should note that disorders of the portal system may cause pulmonary hypertension even in the absence of symptoms suggesting liver disease.
authors.affiliation: The First Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan. imamura@hsp.md.shinshu-u.ac.jp
authors.forename: H
authors.initials: H
authors.lastname: Imamura
authors.forename: T
authors.initials: T
authors.lastname: Momose
authors.forename: H
authors.initials: H
authors.lastname: Kitabayashi
authors.forename: W
authors.initials: W
authors.lastname: Takahashi
authors.forename: Y
authors.initials: Y
authors.lastname: Yazaki
authors.forename: H
authors.initials: H
authors.lastname: Takenaka
authors.forename: M
authors.initials: M
authors.lastname: Isobe
authors.forename: M
authors.initials: M
authors.lastname: Sekiguchi
authors.forename: K
authors.initials: K
authors.lastname: Kubo
mesh_terms: D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology* / Q000503:physiopathology*; D008107:Liver Diseases / Q000150:complications*; D008875:Middle Aged; D011168:Portal System / Q000002:abnormalities*