Document Detail

High-output congestive heart failure following transjugular intrahepatic portal-systemic shunting.
MedLine Citation:
PMID:  7750353     Owner:  NLM     Status:  MEDLINE    
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.
A C Braverman; M A Steiner; D Picus; H White
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chest     Volume:  107     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  1995 May 
Date Detail:
Created Date:  1995-06-19     Completed Date:  1995-06-19     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1467-9     Citation Subset:  AIM; IM    
Cardiovascular Division, Washington University School of Medicine, St. Louis, MO 63110, USA.
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MeSH Terms
Cardiac Output, High / etiology*
Heart Failure / etiology*
Liver Cirrhosis, Alcoholic / surgery*
Middle Aged
Portasystemic Shunt, Surgical / adverse effects*,  methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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