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.
| Original language | English |
|---|---|
| Pages (from-to) | 1467-1469 |
| Number of pages | 3 |
| Journal | CHEST |
| Volume | 107 |
| Issue number | 5 |
| DOIs | |
| State | Published - 1995 |
Keywords
- high-output state
- hyperdynamic circulation
- liver transplantation
- portal hypertension
- transjugular intrahepatic portal-systemic shunts