| Ischemic hepatitis secondary to hepatic artery steal in a patient with celiac artery stenosis and severe postural hypotension. | |
| | |
MedLine Citation:
|
PMID: 21538779 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Ischemic hepatitis, also known as hypoxic hepatitis or shock liver is defined as an acute, transient elevation of aminotransferase levels in the absence of any known causes. The pathogenesis is multifactorial. Many studies have suggested systemic hypotension as a major contributor to the pathogenesis of ischemic hepatitis but that alone is not enough to cause it. Celiac artery stenosis does not commonly cause clinically significant hepatic ischemia because of its rich collaterals. We present a case of a 78-year-old male with a background of severe orthostatic hypotension, who presented with elevation of liver enzymes due to hepatic artery steal precipitated by celiac artery stenosis. Clinical investigations showed elevated transaminases and unremarkable CT scan. Invasive celiac artery angiography showed a critical ostial lesion and it was stented. The liver enzymes peaked the day following stenting and normalized over the next 9 days. This confirmed clinically significant hepatic artery steal due to an ostial celiac artery stenosis. Relieving the celiac artery stenosis normalized the liver enzymes confirming the interdependence of the two components of this rare syndrome. Our report is the only report to our knowledge where classic hepatic artery steal and shock liver was demonstrated due to the rare combination of severe orthostatic hypotension and celiac artery ostial stenosis. © 2011 Wiley-Liss, Inc. |
| | |
Authors:
|
Vikram Panwar; Priyantha Ranaweera |
Related Documents
:
|
20347679 - Novel sutureless telescoping anastomosis revascularization technique of supra-aortic ve... 18589229 - Endovascular treatment of arch and proximal thoracic aortic lesions. 9829339 - Aortic atresia with aortopulmonary window and interrupted aortic arch, simulating commo... 17257929 - Aortic arch replacement using selective cerebral perfusion. 9464609 - Early experience of retrograde cerebral perfusion. 372909 - Right aortic arch with aberrant left innominate artery. 18083339 - Hybrid laparorobotic debranching and endovascular repair of thoracoabdominal aortic ane... 8497649 - Discrimination of the intravascular lumen and dissections in a single 30-mhz us image: ... 15220899 - Determinants of coronary flow abnormalities in obstructive type hypertrophic cardiomyop... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-4-28 |
Journal Detail:
|
Title: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions Volume: - ISSN: 1522-726X ISO Abbreviation: - Publication Date: 2011 Apr |
Date Detail:
|
Created Date: 2011-5-3 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 100884139 Medline TA: Catheter Cardiovasc Interv Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2011 Wiley-Liss, Inc. |
Affiliation:
|
Mercy Regional Health Center, Manhattan, Kansas. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Perforation of the descending thoracic aorta during transcatheter aortic valve implantation (TAVI): ...
Next Document: Vascular hemostasis bandage compared to standard manual compression after cardiac catheterization in...