Abstract:
:We present a patient with acute-onset dyspnea and unexplained severe hypoxemia. No signs of severe cardiopulmonary disease, pulmonary arterial hypertension, or pulmonary embolism were present. The patient was diagnosed with hepatopulmonary syndrome, since liver disease of alcoholic origin was present, markedly increased alveolar-arterial oxygen difference existed, and intrapulmonary vascular dilations were demonstrated. The condition of the patient did not improve and he was referred for liver transplantation, which is the only treatment option with documented efficacy. The case highlights the importance of thinking outside the thorax when evaluating patients with dyspnea.
journal_name
Respir Carejournal_title
Respiratory careauthors
Madsen PH,Hess S,Madsen HDdoi
10.4187/respcare.01612subject
Has Abstractpub_date
2012-11-01 00:00:00pages
1963-6issue
11eissn
0020-1324issn
1943-3654pii
rc01612r3madsenjournal_volume
57pub_type
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