title: Hepatopulmonary syndrome-discussion of cardiopulmonary parameters.
abstract: We report a 70-year-old man with hepatopulmonary syndrome (HPS) in C liver cirrhosis. Hypoxemia worsened markedly, especially on exertion, while the hepatic function was clinically stable. Contrast echocardiography, 99mTc macroaggregated albumin (99mTcMAA) lung scan, and pulmonary angiography were performed. The findings suggested the presence of both intrapulmonary vascular dilatation and substantial right-to-left shunt. The contribution of intrapulmonary vascular abnormalities in patients with severe liver cirrhosis without abnormal chest radiography and spirometry tests when marked hypoxemia is present should be investigated.
authors.affiliation: Department of Internal Medicine, Kochi Nokyo General Hospital, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Miki
authors.forename: T
authors.initials: T
authors.lastname: Shinohara
authors.forename: F
authors.initials: F
authors.lastname: Ogushi
authors.forename: S
authors.initials: S
authors.lastname: Sone
authors.forename: H
authors.initials: H
authors.lastname: Yamada
authors.forename: Y
authors.initials: Y
authors.lastname: Oishi
authors.forename: T
authors.initials: T
authors.lastname: Wakatsuki
authors.forename: S
authors.initials: S
authors.lastname: Ito
authors.forename: S
authors.initials: S
authors.lastname: Yogita
authors.forename: S
authors.initials: S
authors.lastname: Tashiro
mesh_terms: D000368:Aged; D020065:Hepatopulmonary Syndrome; D006801:Humans; D008297:Male