An autopsied case of primary pulmonary hypertension complicated by hepatopulmonary syndrome

S. Tasaka, M. Kanazawa, H. Nakamura, M. Matsumoto, Masaaki Mori, K. Yamaguchi, S. Handa, S. Kuramochi

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

A 57-year-old man, who had received a transfusion five years before, was admitted to our hospital complaining of worsening dyspnea on exertion. Cardiac catheterization was performed, and pulmonary hypertension was diagnosed. Liver dysfunction was also documented. We administered diuretics and observed his clinical course. Gradually worsening hypoxemia and radioisotope accumulation in the kidney following a lung perfusion scintigram suggested the existence of an intrapulmonary shunt. The patient died seven years later due to exacerbation of heart failure secondary to pulmonary infection. Autopsy revealed remarkable hypertensive pulmonary arteriopathy as well as abnormal dilation of precapillary pulmonary arterioles. Esophageal varices suggested portal hypertension. Marked hypoxemia and intrapulmonary vascular dilation suggest the contribution of an hepatopulmonary syndrome.

Original languageEnglish
Pages (from-to)90-94
Number of pages5
JournalJapanese Journal of Thoracic Diseases
Volume33
Issue number1
Publication statusPublished - 1995

Fingerprint

Hepatopulmonary Syndrome
Lung
Dilatation
Esophageal and Gastric Varices
Arterioles
Portal Hypertension
Cardiac Catheterization
Diuretics
Pulmonary Hypertension
Radioisotopes
Dyspnea
Blood Vessels
Liver Diseases
Autopsy
Heart Failure
Perfusion
Kidney
Familial Primary Pulmonary Hypertension
Infection

Keywords

  • hepatopulmonary syndrome

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Tasaka, S., Kanazawa, M., Nakamura, H., Matsumoto, M., Mori, M., Yamaguchi, K., ... Kuramochi, S. (1995). An autopsied case of primary pulmonary hypertension complicated by hepatopulmonary syndrome. Japanese Journal of Thoracic Diseases, 33(1), 90-94.

An autopsied case of primary pulmonary hypertension complicated by hepatopulmonary syndrome. / Tasaka, S.; Kanazawa, M.; Nakamura, H.; Matsumoto, M.; Mori, Masaaki; Yamaguchi, K.; Handa, S.; Kuramochi, S.

In: Japanese Journal of Thoracic Diseases, Vol. 33, No. 1, 1995, p. 90-94.

Research output: Contribution to journalArticle

Tasaka, S, Kanazawa, M, Nakamura, H, Matsumoto, M, Mori, M, Yamaguchi, K, Handa, S & Kuramochi, S 1995, 'An autopsied case of primary pulmonary hypertension complicated by hepatopulmonary syndrome', Japanese Journal of Thoracic Diseases, vol. 33, no. 1, pp. 90-94.
Tasaka, S. ; Kanazawa, M. ; Nakamura, H. ; Matsumoto, M. ; Mori, Masaaki ; Yamaguchi, K. ; Handa, S. ; Kuramochi, S. / An autopsied case of primary pulmonary hypertension complicated by hepatopulmonary syndrome. In: Japanese Journal of Thoracic Diseases. 1995 ; Vol. 33, No. 1. pp. 90-94.
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