HIGH-OUTPUT CONGESTIVE-HEART-FAILURE FOLLOWING TRANSJUGULAR INTRAHEPATIC PORTAL-SYSTEMIC SHUNTING

被引：71

作者：

BRAVERMAN, AC

STEINER, MA

PICUS, D

WHITE, H

机构：

[1] WASHINGTON UNIV,SCH MED,DEPT RADIOL,ST LOUIS,MO 63110

[2] WASHINGTON UNIV,SCH MED,DEPT MED,DIV GASTROENTEROL,ST LOUIS,MO 63110

来源：

CHEST | 1995年 / 107卷 / 05期

关键词：

HIGH-OUTPUT STATE; HYPERDYNAMIC CIRCULATION; LIVER TRANSPLANTATION; PORTAL HYPERTENSION; TRANSJUGULAR INTRAHEPATIC PORTAL-SYSTEMIC SHUNTS;

D O I：

10.1378/chest.107.5.1467

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

A hyperdynamic circulatory state sith 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.

引用

页码：1467 / 1469

页数：3

共 17 条

[1] TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT WORSENS THE HYPERDYNAMIC CIRCULATORY STATE OF THE CIRRHOTIC PATIENT - PRELIMINARY-REPORT OF A PROSPECTIVE-STUDY [J].