%0 Case Reports %T Case report: Congenital extrahepatic portocaval shunt presenting as pulmonary arterial hypertension in a pregnant patient. %A Harlander M %A Badovinac M %A Markoska F %A Salobir B %A Štupnik T %A Dolenšek MI %A Kern I %A Gorjup V %A Galiè N %J Pulm Circ %V 12 %N 1 %D Jan 2022 %M 35506097 %F 2.886 %R 10.1002/pul2.12008 %X Congenital extrahepatic portocaval shunt (CEPS) is a rare condition in which a rare congenital vascular anomaly of the portal system is present. CEPS may manifest as pulmonary arterial hypertension (PAH). When diagnosed and treated early, PAH can be reversible. We report a case of a previously asymptomatic woman, who manifested with severe pulmonary hypertension during pregnancy and was consequently diagnosed with CEPS. After unsuccessful medical treatment, urgent lung transplantation was done.