Localizing Intrapulmonary Shunt in Hepatopulmonary Syndrome by Transesophageal Echocardiography

Wan-Jing HO; Po-Hsien CHU; Shao-Yueh CHIANG; Cheng-Wen CHIANG

doi:10.1536/jhj.40.369

Wan-Jing HO, Po-Hsien CHU, Shao-Yueh CHIANG, Cheng-Wen CHIANG

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Keywords: Intrapulmonary shunt, Hepatopulmonary syndrome, Transesophageal echocardiography, Pulmonary angiography, Extracardiac shunt, Platypnea, Orthodeoxia

JOURNAL FREE ACCESS

1999 Volume 40 Issue 3 Pages 369-374

DOI https://doi.org/10.1536/jhj.40.369

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Abstract

Transesophageal echocardiography combining with peripheral injection of agitated saline solution is a useful diagnostic tool to detect the intrapulmonary shunt. We performed transesophageal contrast echocardiography in a case of hepatopulmonary syndrome with normal pulmonary angiography to define the intrapulmonary right-to-left shunt bilaterally.

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