This crypto-symptomatic pancreatitis was not diagnosed until massive internal bleeding and hemorrhagic shock occurred, because the typical presentations of acute pancreatitis were masked by the intra-abdominal manifestations caused by right heart failure [ncbi.nlm.nih.gov]

[…] arteriovenous shunt, which is a common finding in patients with ESLD, with an estimated prevalence of 17% and 47%. 274 This finding is an important component of hepatopulmonary syndrome, defined by the presence of chronic liver disease, significant hypoxemia [ahajournals.org]

BACKGROUND: Because survival on the heart transplantation waitlist depends on underlying heart disease, a new allocation system will include the type of heart disease. [ncbi.nlm.nih.gov]