title: [A man with slowly progressive dyspnea on exertion].
abstract: A 42-year-old man with a medical history of liver cirrhosis and portal hypertension was admitted to the hospital because of slowly progressive shortness of breath and hypoxemia. The diagnosis hepatopulmonary syndrome was confirmed by a pulmonary perfusion scan with 99m Tc-albumin. The scan showed a right-left shunt, because the 99m Tc-albumin transited the lungs and appeared in the brain, the thyroid gland, the kidneys and the spleen. The patient received a liver transplantation, which is considered the only definitive treatment.
authors.affiliation: Radboudumc, Nijmegen.
authors.forename: S T
authors.initials: ST
authors.lastname: Laurens
authors.forename: S O
authors.initials: SO
authors.lastname: Simons
authors.forename: A I J
authors.initials: AI
authors.lastname: Arens
mesh_terms: D000328:Adult; D004417:Dyspnea / Q000209:etiology* / Q000503:physiopathology; D020065:Hepatopulmonary Syndrome / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D016031:Liver Transplantation; D008168:Lung / Q000000981:diagnostic imaging / Q000503:physiopathology; D008297:Male; D005082:Physical Exertion / Q000502:physiology*; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D013668:Technetium Tc 99m Aggregated Albumin
chemical_list: D019275:Radiopharmaceuticals; D013668:Technetium Tc 99m Aggregated Albumin