| Literature DB >> 25755536 |
Yogesh P Harwani1, Ajit Kumar1, Akash Chaudhary1, Manoj Kumar1, Padmavathi R Choudeswari1, Vishnu V Kankanala1, Nayana Joshi1, Chintan Kansagra1, Sandip Shah1, Abhisheka Tripathi1.
Abstract
Hemorrhage from downhill varices is a rare manifestation. The etiology of downhill varices is due to superior vena cava obstruction while uphill varices are secondary to portal hypertension. We report a rare case of 55-year-old female with bleeding downhill varices not associated with obstruction or compression of superior vena cava, but was due to severe pulmonary artery hypertension secondary to chronic rheumatic heart disease.Entities:
Keywords: ALT, alanine transferase; AST, aspartate aminotransferase; CRHD, chronic rheumatic heart disease; LA, left atrium; LV, left ventricular; MDCT, multidetector computed tomography; PAH, pulmonary artery hypertension; RA, right atrium; RCS, red colour signs; RVH, right ventricular hypertrophy; SVC, superior vena cava; TR, severe tricuspid regurgitation; downhill varices; pulmonary artery hypertension; rheumatic heart disease; uphill varices
Year: 2014 PMID： 25755536 PMCID： PMC4017173 DOI： 10.1016/j.jceh.2013.10.003
Source DB: PubMed Journal: J Clin Exp Hepatol ISSN： 0973-6883