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10.1155/2017/1469893 http://scihub22266oqcxt.onion/10.1155/2017/1469893 C5602492!5602492 !28948051     free     free     free Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\28948051 .jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       Case+Rep+Cardiol 2017 ; 2017 (ä): 1469893 Nephropedia Template TP {{tp|p=28948051 |t=2017. Persistent Unexplained Dyspnea: A Case of Hepatopulmonary Syndrome |pdf=|usr=}}{{28948051 }} gab.com Text Persistent Unexplained Dyspnea: A Case of Hepatopulmonary Syndrome JO: Case Rep Cardiol http://www.kidney.de/pget.php?&tw=1&pmid=28948051 #FOAvip Regarding a patient with dyspnea, the history and physical examination often lead to the correct diagnosis. In some circumstances, when more than one underlying disease is present, the diagnostic process can be more challenging. We describe an unusual case of dyspnea and persistent hypoxemia related to a hepatopulmonary syndrome in a 53-year-old patient with known heart failure and chronic liver disease. Initially managed with intravenous diuretic therapy, due to signs of lung and peripheral congestion, our patient did not improve as expected; therefore we performed more advanced studies with a chest-abdomen CT scan and a right heart catheterization. They showed, respectively, no signs of parenchymal and vasculature lung disease, a cirrhotic liver disease, splenomegaly, signs of portal hypertension, and high cardiac output with normal pulmonary vascular resistance. These results, along with the association of hypoxemia and chronic liver disease, suggested a hepatopulmonary syndrome. The diagnosis was confirmed by the demonstration of an intrapulmonary vascular dilatation with right to left shunt during a microbubble transthoracic echocardiography and a lung perfusion scan. Liver transplantation is the only successful treatment for this syndrome; however, the patient became soon unsuitable for this strategy, due to a rapid clinical deterioration. Twit Text FOAVip Persistent Unexplained Dyspnea: A Case of Hepatopulmonary Syndrome ????Case Rep Cardiol http://www.kidney.de/pget.php?&tw=1&pmid=28948051 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=28948051 #FOAvip English Wikipedia <ref>{{Cite pmid|28948051 }}</ref> Persistent Unexplained Dyspnea: A Case of Hepatopulmonary Syndrome #MMPMID28948051 Campanile A ; Colombo A ; Del Pinto M ; Cavallini C Case Rep Cardiol 2017[]; 2017 (ä): 1469893 PMID28948051 show ga Regarding a patient with dyspnea, the history and physical examination often lead to the correct diagnosis. In some circumstances, when more than one underlying disease is present, the diagnostic process can be more challenging. We describe an unusual case of dyspnea and persistent hypoxemia related to a hepatopulmonary syndrome in a 53-year-old patient with known heart failure and chronic liver disease. Initially managed with intravenous diuretic therapy, due to signs of lung and peripheral congestion, our patient did not improve as expected; therefore we performed more advanced studies with a chest-abdomen CT scan and a right heart catheterization. They showed, respectively, no signs of parenchymal and vasculature lung disease, a cirrhotic liver disease, splenomegaly, signs of portal hypertension, and high cardiac output with normal pulmonary vascular resistance. These results, along with the association of hypoxemia and chronic liver disease, suggested a hepatopulmonary syndrome. The diagnosis was confirmed by the demonstration of an intrapulmonary vascular dilatation with right to left shunt during a microbubble transthoracic echocardiography and a lung perfusion scan. Liver transplantation is the only successful treatment for this syndrome; however, the patient became soon unsuitable for this strategy, due to a rapid clinical deterioration. äPersistent Unexplained Dyspnea: A Case of Hepatopulmonary Syndrome (epmc).pdf DeepDyve Pubget Overpricing