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Severe Intrapulmonary Shunting Associated With Metastatic Carcinoid*

Daniel F. Lee, DO; Lawrence S. Lepler, MD, FCCP
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*From the Dwight David Eisenhower Army Medical Center, Fort Gordon, GA.

Correspondence to: Daniel F. Lee, DO, Pulmonary Fellow, Walter Reed Army Medical Center, Washington, DC 20307



Chest. 1999;115(4):1203-1207. doi:10.1378/chest.115.4.1203
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A 37-year-old woman with a 10-year history of metastatic carcinoid presented to her oncologist with increased dyspnea. Further evaluation revealed hypoxemia and intrapulmonary vasodilatation. We describe a case of hepatopulmonary-like physiology associated with metastatic carcinoid in a patient with intact liver function. To our knowledge, this is the first documented case of intrapulmonary shunting and hepatopulmonary-like physiology associated with metastatic carcinoid. (CHEST 1999; 115:1203–1207)

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