期刊
EUROPEAN JOURNAL OF ECHOCARDIOGRAPHY
卷 8, 期 5, 页码 408-410出版社
ELSEVIER SCIENCE BV
DOI: 10.1016/j.euje.2006.07.005
关键词
contrast-enhanced echocardiography; hepatopulmonary syndrome
The hepatopulmonary syndrome must be suspected in patients with end-stage liver disease and refractory hypoxemia. We report a case of a 49-year-old woman with hypoxemia and cirrhosis referred to the cardiac ultrasound laboratory in the evaluation of liver transplantation. Contrast-enhanced echocardiography with intravenous injection of agitated saline solution was crucial to obtain the definitive diagnosis. This imaging modality has proven to be a valuable tool indetecting intrapulmonary right-to-left shunt. The present case emphasizes the usefulness of contrast echocardiography in the diagnosis of a noncardiac disease with important prognosis implications. (c) 2006 The European Society of Cardiology. Published by Elsevier Ltd. All rights reserved.
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