High-output congestive heart failure following transjugular intrahepatic portal-systemic shunting - PubMed (original) (raw)
Case Reports
. 1995 May;107(5):1467-9.
doi: 10.1378/chest.107.5.1467.
Affiliations
- PMID: 7750353
- DOI: 10.1378/chest.107.5.1467
Case Reports
High-output congestive heart failure following transjugular intrahepatic portal-systemic shunting
A C Braverman et al. Chest. 1995 May.
Abstract
A hyperdynamic circulatory state with elevated cardiac output, decreased peripheral vascular resistance, and sodium retention occurs in patients with portal cirrhosis. Surgical portal-systemic shunts and transjugular intrahepatic portal-systemic shunts (TIPS) have been shown to worsen the high-output state in these patients. However, clinical evidence of high-output congestive heart failure has been reported only rarely to complicate cirrhosis. We describe a patient who developed high-output congestive heart failure with markedly elevated filling pressures after TIPS and had complete resolution of heart failure after liver transplantation.
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