eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2020-03-24 8 5 137 139 10.12691/ajmcr-8-5-7 AJMCR2020857 article Tyler Kemnic Kemnicty@msu.edu 1 2 James Choi 2 2 Manel Boumegouas 2 2 Shaurya Srivastava 3 Michigan State University Department of Medicine Michigan State University College of Osteopathic Medicine A 49-year-old male with a past medical history of smoking (20 pack-years), 25 years of daily drinking, type 2 diabetes, alcoholic liver cirrhosis, hyperlipidemia, and hypertension presented with a complaint of weakness, shortness of breath and dizziness. Three days prior the patient completed an echocardiogram that revealed tricuspid regurgitation with right ventricular dilation and a right ventricular systolic pressure of 116 mmHg. Cardiology was consulted and completed right heart catheterization, VQ scan, as well as autoimmune and infectious investigations. The patient was diagnosed with Portopulmonary Hypertension (PPHTN) complicated by liver cirrhosis. Treatment was initiated with sildenafil, amlodipine, aspirin and continuous oxygen with scheduled outpatient appointments for both IV prostacyclin treatment and pre-liver transplant (LT) evaluation. http://pubs.sciepub.com/ajmcr/8/5/7/ajmcr-8-5-7.pdf Portopulmonary hypertension cardiology cirrhosis pulmonary