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JOURNAL.HOUSTONMETHODIST.ORG 168 A 35-year-old female with a history of pulmonary hypertension with secondary polycythemia and congenital asplenia was seen for heart/lung transplant evaluation. Up until 2 months prior, she was able to carry out her activities of daily living without limitation and with very mild dyspnea on exertion. However, her functional status had recently declined significantly, and she had to quit her job. She came in experiencing shortness of breath with minimal exertion, consistent with NYHA III, and was put on 4 L home oxygen via nasal cannula. She reported associated occasional leg swelling and denied any chest pain, syncope, or history of hospitalization.

An Interesting Cause of Eisenmenger’s Syndrome