The Heart in Pulmonary Hypertension

Figures 1 and 2 are from a 45-year-old woman with portopulmonary hypertension. Cirrhosis was diagnosed 7 years, and pulmonary hypertension, 2 years before death. PA pressure was 105/35. Death was preceded by hoarseness and liver failure.

Figure 1. Right-sided Chambers of Heart

Figure 2. Left Ventricle

Note the dilated right atrium and tricuspid valve, and hypertrophied and dilated right ventricle. The right ventricle is almost as thick as the left ventricle.

Normal left ventricle and aortic valve, for comparison

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