High-output congestive heart failure following transjugular intrahepatic portal-systemic shunting

A. C. Braverman, M. A. Steiner, D. Picus, H. White

Research output: Contribution to journalArticlepeer-review

71 Scopus citations


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 languageEnglish
Pages (from-to)1467-1469
Number of pages3
Issue number5
StatePublished - 1995


  • high-output state
  • hyperdynamic circulation
  • liver transplantation
  • portal hypertension
  • transjugular intrahepatic portal-systemic shunts


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