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European Journal of Echocardiography 2007 8(5):408-410; doi:10.1016/j.euje.2006.07.005
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Copyright © 2006, The European Society of Cardiology

Value of contrast echocardiography for the diagnosis of hepatopulmonary syndrome

María J. Rollán*, Ana C. Muñoz, Teresa Pérez and José L. Bratos

Cardiac Ultrasound Laboratory, Cardiology Division, Department of Medicine, Hospital Universitario del Río Hortega, Avda. Santa Teresa 9, 47010 Valladolid, Spain

Received 23 April 2006; received in revised form 2 July 2006; accepted after revision 15 July 2006.

mariajrollan{at}yahoo.es

* Corresponding author. Tel.: +34 653121123; fax: +34 983331566.


  Abstract

The hepatopulmonary syndrome must be suspected in patients with end-stage liver disease and refractory hypoxemia. We report a case of a 49-year-old woman with hypoxemia and cirrhosis referred to the cardiac ultrasound laboratory in the evaluation of liver transplantation. Contrast-enhanced echocardiography with intravenous injection of agitated saline solution was crucial to obtain the definitive diagnosis. This imaging modality has proven to be a valuable tool in detecting intrapulmonary right-to-left shunt. The present case emphasizes the usefulness of contrast echocardiography in the diagnosis of a noncardiac disease with important prognosis implications.

Keywords: Contrast-enhanced echocardiography; Hepatopulmonary syndrome


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