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Hepatopulmonary Syndrome A 70-year-old woman with advanced liver cirrhosis (MASH) was shifted to the ICU because of worsening hypoxia in the supine position. A-aO2 >20 mm Hg in seated position. The bubble test was carried out Air bubbles appeared in LV after 7 beats, suggesting hepatopulmonary syndrome and pulmonary shunt due to pulmonary dilatation and AV shunts. Prognosis is poor, and the patient was not fit for liver transplantation | إستشاري امراض الباطنة والكبد د محمد الجمال
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