Johnson A Author
Subjects of specialization
Affiliation
Shortness, breath (SOB), hepatic
Sunderland Royal Hospital, Kayll Road, Sunderland, UK
Johnson A Sunderland Royal Hospital, Kayll Road, Sunderland, UK, His Research Interest is Portal hypertension; Portopulmonary hypertension; Hepatopulmonary syndrome and the number of publications is 27
Case Report Open Access
Author(s): Johnson A, Mitchell D, Batchelor S, Kaura S and Islam M
Both portopulmonary hypertension and hepatopulmonary syndrome are relatively uncommon causes of dyspnoea, but should be considered in patients with portal hypertension in whom other common causes have been excluded. This case study highlights these alternative causes of dyspnoea in patients with chronic liver disease. A 58 year old male with known alcoholic cirrhosis presented with increasing dyspnoea and abdominal swelling. His shortness of breath persisted despite large volume paracentesis. His blood gas revealed a severe hypoxia and a transthoracic echocardiogram showed a severely elevated pulmonary artery systolic pressure. Right heart catheterisation confirmed severe pulmonary hypertension. Liver transplantation was contraindicated due to the severity o... view moreĀ»