En kvinne i 50-årene med levercirrhose og stillingsavhengig dyspné

BACKGROUND Cardiac and pulmonary complications can occur in patients with advanced liver disease. CASE PRESENTATION A woman her fifties diagnosed non-alcoholic steatohepatitis (NASH), which progressed four years later to decompensated failure due cirrhosis. She was admitted the hospital ascites pleural effusion more than 10 times over course of one year, accepted for transplantation. After spending five months hospital, she urgently needed a transplant serious progression While waiting transplantation, developed dyspnoea worsened when stood up, combined significant oxygen desaturation (platypnoea orthodeoxia). Workup saline contrast echocardiography resulted diagnosis hepatopulmonary syndrome. underwent transplantation an uncomplicated after being on list nine months. INTERPRETATION Early referral cardiologic workup is important disease dyspnoea. Echocardiography agitated salt water low-invasive diagnostic good method evaluate syndrome these patients.