Case Report
Bubble contrast echocardiography study for diagnosing pulmonary arteriovenous shunt in a case of hepatopulmonary syndrome
1 Senior PICU Specialist, Department of Pediatric Intensive Care, Aster CMI Hospital, Bangalore, Karnataka, India
2 Consultant Pediatric Cardiologist, Aster CMI Hospital, Bangalore, Karnataka, India
Address correspondence to:
Sandip Gupta
(Fellowship of National Board - PICU), Senior PICU Specialist, Department of Pediatric Intensive Care, Aster CMI Hospital, Bangalore 560092, Karnataka,
India
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Article ID: 100003VAM08SG2020
doi: 10.5348/100003VAM08SG2020CR
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How to cite this article
Gupta S, Arigela K, Mohanty S. Bubble contrast echocardiography study for diagnosing pulmonary arteriovenous shunt in a case of hepatopulmonary syndrome. Video J Clin Res 2020;2:100003VAM08SG2020.Abstract
Introduction: Hepatopulmonary syndrome is an important cause of hypoxemia in children with chronic liver disease. We demonstrate the clinical utility of a simple bedside test to diagnose the condition.
Case Report: A 10-year-old with Budd–Chiari malformation presented with severe hypoxemia. Chest X-ray and computed tomography (CT) thorax were normal. Bubble contrast echocardiogram showed return of bubbles to left atrium between the third and fourth cardiac cycle suggestive of pulmonary arteriovenous shunt.
Conclusion: Contrast echocardiogram is a sensitive tool to diagnose pulmonary arteriovenous shunt.
Keywords: Bubble contrast echocardiography, Hepatopulmonary syndrome, Pulmonary arteriovenous shunt
Supporting Information
Author Contributions:
Sandip Gupta - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Karthik Arigela - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Sweta Mohanty - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Data Availability Statement:The corresponding author is the guarantor of submission.
Consent For Publication:Written informed consent was obtained from the patient for publication of this article.
Competing Interests:Authors declare no conflict of interest.
