Most people with hepatopulmonary syndrome have no symptoms. If symptoms occur, they may include:  Shortness of breath, especially when sitting or standing Clubbing of the fingers, in which the fingertips spread out and become rounder than normal Broken blood vessels under the skin (spider angioma) Bluish tinge of the lips and skin (cyanosis)  Causes Hepatopulmonary syndrome is caused when blood vessels in and around the lungs widen (dilate), which affects the amount of oxygen that moves from the lungs into the bloodstream. What causes this abnormality remains unclear, and it's unknown why some people with liver disease develop hepatopulmonary syndrome while others do not.                  By Mayo Clinic Staff By Mayo Clinic Staff  Hepatopulmonary syndrome care at Mayo Clinic 
people hepatopulmonary syndrome symptoms  symptoms occur  may include:  shortness breath  especially sitting standing clubbing fingers  fingertips spread rounder normal broken blood vessels skin (spider angioma) bluish tinge lips skin (cyanosis)  causes hepatopulmonary syndrome caused blood vessels lungs widen (dilate)  affects amount oxygen moves lungs bloodstream  causes abnormality remains unclear  it's unknown people liver disease develop hepatopulmonary syndrome not                   mayo clinic staff mayo clinic staff  hepatopulmonary syndrome care mayo clinic 
hepatopulmonary syndrome