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Hepatopulmonary Syndrome (HPS) demonstrated on Echocardiogram Bubble Study

Intra-cardiac shunt: Bubbles appear in LA quickly (within 3

Hepatopulmonary ... Echocardiogram Bubble ... (this video): Bubble ... #HPS #Hepatopulmonary ... Echocardiogram #Bubble

Hepatopulmonary Syndrome on Echocardiogram (A4C)
Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when

Hepatopulmonary ... Echocardiogram (A4C) Hepatopulmonary ... contrast TTE when bubbles ... DrBloodandGuts #Hepatopulmonary ... Echocardiogram #A4C #bubble

Hepatopulmonary Syndrome (HPS) Diagnosis Algorithm
Bubble echo is the first piece of the puzzle. The nail on

Hepatopulmonary ... Diagnosis Algorithm Bubble ... the same way on bubble ... Themis_Kourk #Hepatopulmonary

Hepatopulmonary Syndrome - Echocardiogram (A4c) with bubble study showing delayed right-to-left shunt consistent with intrapulmonary shunt
68M

Hepatopulmonary ... Echocardiogram (A4c) with bubble ... cirrhosis with hepatopulmonary ... JeffreyKanneMD #Hepatopulmonary ... Echocardiogram #bubble

Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with

Early transit of bubbles ... #2 c/w hepatopulmonary

Hepatopulmonary Syndrome (HPS)

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients

Hepatopulmonary ... classification #Hepatopulmonary

Hepatopulmonary Syndrome
HPS - Diagnosis:
1. Patients with liver disease
2. Alveolar-arterial oxygen gradient (AaP02) >15 mmHg

Hepatopulmonary ... 50 mmHg #HPS #Hepatopulmonary

End Stage Liver Disease (Cirrhosis) - Complications
• Ascites
• Esophageal Varices
• Hepatic

Carcinoma (HCC) • Hepatopulmonary

Complications of Portal Hypertension
• Hepatic Encephalopathy
• Pulmonary: Hepatopulmonary syndrome, Portopulmonary hypertension, Hepatic hydrothorax
•

• Pulmonary: Hepatopulmonary

ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the

ASD on Bubble Contrast ... #defect #ASD #Bubble

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