| Literature DB >> 7750353 |
A C Braverman1, M A Steiner, D Picus, H White.
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.Entities:
Mesh:
Year: 1995 PMID: 7750353 DOI: 10.1378/chest.107.5.1467
Source DB: PubMed Journal: Chest ISSN: 0012-3692 Impact factor: 9.410