Portopulmonary hypertension: A focused review for the internist.

Chhabria, Mamta S; Boppana, Leela Krishna Teja; Manek, Gaurav; Tonelli, Adriano R · Cleve Clin J Med · 2023

review · Level V

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Abstract

Portopulmonary hypertension, ie, pulmonary arterial hypertension in a patient with portal hypertension, affects transplant eligibility and has a poor prognosis. The pathogenesis remains an area of active research, with various mechanisms proposed. Diagnosing it requires a detailed history, physical examination, laboratory tests, and echocardiographic evaluation, followed by a careful hemodynamic assessment.

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