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Colle, I. O., Moreau, R., Godinho, E., Belghiti, J., Ettori, F., Cohen‐Solal, A., Mal, H., Bernuau, J., Marty, J., Lebrec, D., Valla, D. and Durand, F. (2003), Diagnosis of portopulmonary hypertension in candidates for liver transplantation: A prospective study. Hepatology, 37: 401-409.

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Article

Portopulmonary Hypertension with Liver Cirrhosis

1Michigan State University Department of Medicine

2Sparrow Hospital

3Michigan State University College of Osteopathic Medicine


American Journal of Medical Case Reports. 2020, Vol. 8 No. 5, 137-139
DOI: 10.12691/ajmcr-8-5-7
Copyright © 2020 Science and Education Publishing

Cite this paper:
Tyler Kemnic, James Choi, Manel Boumegouas, Shaurya Srivastava. Portopulmonary Hypertension with Liver Cirrhosis. American Journal of Medical Case Reports. 2020; 8(5):137-139. doi: 10.12691/ajmcr-8-5-7.

Correspondence to: Tyler  Kemnic, Michigan State University Department of Medicine. Email: Kemnicty@msu.edu

Abstract

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.

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