| Cardiac cirrhosis: a rare manifestation of an uncorrected primum atrial septal defect. | |
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MedLine Citation:
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PMID: 19966572 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Atrial septal defects constitute the second most common cardiac congenital abnormality. These defects when undiagnosed during childhood, present in adulthood with symptoms of right heart failure. We describe a case of uncorrected ostium primum atrial septal defect that presented as liver failure in a 43-year-old woman. The patient was found to have liver cirrhosis and a complete work-up of hepatic causes for cirrhosis was negative. Further examination revealed an atrial primum septal defect. Liver cirrhosis in this patient was thought to be secondary to chronic congestion from the right heart failure resulting from the atrial septal defect. Although right heart failure is a known cause of cirrhosis, liver cirrhosis resulting specifically from an atrial septal defect is uncommon. In fact, an ostium primum atrial septal defect presenting as liver cirrhosis has not been well described. We present such a case to highlight this manifestation of atrial septal defect and also to reiterate that cardiac causes should always be considered in the differential diagnosis whenever a patient presents with liver cirrhosis. |
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Authors:
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Jayasree Pillarisetti; Jayant Nath; Loren Berenbom; Dhanunjaya Lakkireddy |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of cardiovascular medicine (Hagerstown, Md.) Volume: 11 ISSN: 1558-2035 ISO Abbreviation: J Cardiovasc Med (Hagerstown) Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-07-30 Completed Date: 2010-11-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101259752 Medline TA: J Cardiovasc Med (Hagerstown) Country: United States |
Other Details:
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Languages: eng Pagination: 689-91 Citation Subset: IM |
Affiliation:
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University of Kansas Hospital, Kansas City, Kansas, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Biopsy Cardiac Surgical Procedures Diuretics / therapeutic use Echocardiography, Transesophageal Female Heart Failure / etiology*, therapy, ultrasonography Heart Septal Defects, Atrial / complications*, therapy, ultrasonography Humans Liver Cirrhosis / etiology*, pathology, therapy Paracentesis Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Diuretics |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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