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Detection of intrapulmonary vasodilatation and diagnosis of hepatopulmonary syndrome using contrast echocardiography

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Advances in Echo Imaging Using Contrast Enhancement

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Abstract

The hepatopulmonary syndrome is defined by a triad including liver disease and/or portal hypertension, gas exchange abnormalities (arterial pO2 < 70 mmHg or alveolar— arterial gradient >20mmHg) and intrapulmonary vasodilatation. The mainstay of diagnosis of this syndrome is the detection of intrapulmonary vasodilatation. Contrast echocardiography (CE) and lung perfusion scanning (Tc99-MAA) are the current modalities utilized to detect intrapulmonary vasodilatation and to diagnose hepatopulmonary syndrome (HPS). This chapter will briefly review the HPS and focus on the use of CE in diagnosis as well as potential future diagnostic modalities.

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Authors
  1. Gary A. Abrams
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  2. Michael B. Fallon
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  3. Camilo R. Gomez
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  4. Navin C. Nanda
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Editor information

Editors and Affiliations

  1. University of Alabama at Birmingham, Birmingham, Alabama, USA

    Navin C. Nanda MD (Professor of Medicine and Director, Heart Station/Echocardiography Laboratories) (Professor of Medicine and Director, Heart Station/Echocardiography Laboratories)

  2. The Kirklin Clinic, University of Alabama at Birmingham, Birmingham, Alabama, USA

    Navin C. Nanda MD (Professor of Medicine and Director, Heart Station/Echocardiography Laboratories) (Professor of Medicine and Director, Heart Station/Echocardiography Laboratories)

  3. Clinical Development Diagnostics of Schering AG, Berlin, Germany

    Reinhard Schlief Dr Med Dipl Phys (Head of Magnetic Resonance and Ultrasound Contrast Media) (Head of Magnetic Resonance and Ultrasound Contrast Media)

  4. Department of Radiology, Thomas Jefferson University, Philadelphia, USA

    Barry B. Goldberg MD (Professor of Radiology and Director) (Professor of Radiology and Director)

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© 1997 Springer Science+Business Media Dordrecht

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Abrams, G.A., Fallon, M.B., Gomez, C.R., Nanda, N.C. (1997). Detection of intrapulmonary vasodilatation and diagnosis of hepatopulmonary syndrome using contrast echocardiography. In: Nanda, N.C., Schlief, R., Goldberg, B.B. (eds) Advances in Echo Imaging Using Contrast Enhancement. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-5704-9_16

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  • DOI: https://doi.org/10.1007/978-94-011-5704-9_16

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6405-7

  • Online ISBN: 978-94-011-5704-9

  • eBook Packages: Springer Book Archive

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