Hepatopulmonary syndrome-discussion of cardiopulmonary parameters

Miki, Keisuke; Shinohara, Tsutomu; Ogushi, Fumitaka; Sone, Saburo; Yamada, Hirotsugu; Oishi, Yoshifumi; Wakatsuki, Tetsuzo; Ito, Susumu; Yogita, Shiro; Tashiro, Seiki

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Use this link to cite this item : https://repo.lib.tokushima-u.ac.jp/25094

ID	25094
Author	Miki, Keisuke Department of Internal Medicine, Kochi Nokyo General Hospital Shinohara, Tsutomu Third Department of Internal Medicine, The University of Tokushima School of Medicine Tokushima University Educator and Researcher Directory KAKEN Search Researchers Ogushi, Fumitaka Third Department of Internal Medicine, The University of Tokushima School of Medicine Sone, Saburo Third Department of Internal Medicine, The University of Tokushima School of Medicine Tokushima University Educator and Researcher Directory KAKEN Search Researchers Yamada, Hirotsugu Second Department of Internal Medicine, The University of Tokushima School of Medicine Tokushima University Educator and Researcher Directory KAKEN Search Researchers Oishi, Yoshifumi Second Department of Internal Medicine, The University of Tokushima School of Medicine Wakatsuki, Tetsuzo Second Department of Internal Medicine, The University of Tokushima School of Medicine Tokushima University Educator and Researcher Directory KAKEN Search Researchers Ito, Susumu Second Department of Internal Medicine, The University of Tokushima School of Medicine Tokushima University Educator and Researcher Directory Yogita, Shiro First Department of Surgery, The University of Tokushima School of Medicine Tashiro, Seiki First Department of Surgery, The University of Tokushima School of Medicine Tokushima University Educator and Researcher Directory
Keywords	Hypoxemia liver disease contrast echocardiography pulmonary angiography 99mTc macroaggregated albumin (99mTcMAA) lung scan
Content Type	Journal Article
Description	We report a 70-year-old man with hepatopulmonary syndrome (HPS) in C liver cirrhosis. Hypoxemia worsened markedly, especially on exertion, while the hepatic function was clinically stable. Contrast echocardiography, 99mTc macroaggregated albumin (99mTcMAA) lung scan, and pulmonary angiography were performed. The findings suggested the presence of both intrapulmonary vascular dilatation and substantial right-to-left shunt. The contribution of intrapulmonary vascular abnormalities in patients with severe liver cirrhosis without abnormal chest radiography and spirometry tests when marked hypoxemia is present should be investigated.
Journal Title	The journal of medical investigation : JMI
ISSN	13431420
NCID	AA11166929
Volume	47
Issue	3-4
Start Page	164
End Page	169
Sort Key	164
Published Date	2000
Remark	データ元 : http://medical.med.tokushima-u.ac.jp/jmi/
EDB ID	135601
FullText File	LID201111242014.pdf 347 KB
language	eng
departments	University Hospital Medical Sciences