A Rare Cause of Cyanosis: Hepatopulmonary Syndrome Caused by Congenital Extrahepatic Portosystemic Shunt | Zendy

Xueyan Ding | Zendy; Feng Chen | Zendy; Xianxian Zhao | Zendy; Hong Wu | Zendy; Shaoping Chen | Zendy; Yong-wen QIN | Zendy

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A Rare Cause of Cyanosis: Hepatopulmonary Syndrome Caused by Congenital Extrahepatic Portosystemic Shunt

Author(s) -

Xueyan Ding,

Feng Chen,

Xianxian Zhao,

Hong Wu,

Shaoping Chen,

Yong-wen QIN

Publication year - 2011

Publication title -

case reports in vascular medicine

Language(s) - English

Resource type - Journals

eISSN - 2090-6986

pISSN - 2090-6994

DOI - 10.1155/2011/508171

Subject(s) - hepatopulmonary syndrome , medicine , portosystemic shunt , inferior vena cava , shunt (medical) , cardiology , right to left shunt , venous blood , surgery , radiology , portal hypertension , cirrhosis , patent foramen ovale , migraine

A 19-year-old male patient presented cyanosis and dyspnoea because of the presence of multiple pulmonary arteriovenous fistulas resulting in oxygen desaturation. The CTA revealed that intestinal and splenic venous blood bypasses the liver and drains into the inferior vena cava. This is the first reported case of hepatopulmonary syndrome caused by congenital extrahepatic portosystemic shunt in which intestinal and splenic venous blood bypasses the liver and drains into the inferior vena cava.

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