Acute liver failure following hemodialysis arteriovenous graft placement: a case report

INTRODUCTION: Severe high-output cardiac failure is a serious complication of high-flow vascular access requiring immediate intervention. Ischemic hepatitis is defined as a massive increase in serum transaminase levels due to an imbalance between hepatic oxygen supply and demand in the absence of ot...

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Autores principales: Brener, Zachary Z, Paiusco, Augusto D, Bergman, Michael
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2924356/
https://www.ncbi.nlm.nih.gov/pubmed/20698971
http://dx.doi.org/10.1186/1752-1947-4-261
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author Brener, Zachary Z
Paiusco, Augusto D
Bergman, Michael
author_facet Brener, Zachary Z
Paiusco, Augusto D
Bergman, Michael
author_sort Brener, Zachary Z
collection PubMed
description INTRODUCTION: Severe high-output cardiac failure is a serious complication of high-flow vascular access requiring immediate intervention. Ischemic hepatitis is defined as a massive increase in serum transaminase levels due to an imbalance between hepatic oxygen supply and demand in the absence of other acute causes of liver damage. It is typically preceded by hypotension, hypoxemia, or both, and occurs mostly in elderly patients with right-sided congestive heart failure. CASE PRESENTATION: We report a fatal case of acute liver failure in an 84-year-old Caucasian man with high-output cardiac failure due to arteriovenous hemodialysis access. The chronological sequence of acute liver failure in the context of vascular access created two days before suggests that ischemic hepatitis was the result of high-output cardiac failure due to vascular access. CONCLUSIONS: A thorough cardiac assessment should be performed in patients with severe cardiac disease prior to placing an arteriovenous access, and arteriovenous fistula should be the preferred vascular access.
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spelling pubmed-29243562010-08-20 Acute liver failure following hemodialysis arteriovenous graft placement: a case report Brener, Zachary Z Paiusco, Augusto D Bergman, Michael J Med Case Reports Case Report INTRODUCTION: Severe high-output cardiac failure is a serious complication of high-flow vascular access requiring immediate intervention. Ischemic hepatitis is defined as a massive increase in serum transaminase levels due to an imbalance between hepatic oxygen supply and demand in the absence of other acute causes of liver damage. It is typically preceded by hypotension, hypoxemia, or both, and occurs mostly in elderly patients with right-sided congestive heart failure. CASE PRESENTATION: We report a fatal case of acute liver failure in an 84-year-old Caucasian man with high-output cardiac failure due to arteriovenous hemodialysis access. The chronological sequence of acute liver failure in the context of vascular access created two days before suggests that ischemic hepatitis was the result of high-output cardiac failure due to vascular access. CONCLUSIONS: A thorough cardiac assessment should be performed in patients with severe cardiac disease prior to placing an arteriovenous access, and arteriovenous fistula should be the preferred vascular access. BioMed Central 2010-08-10 /pmc/articles/PMC2924356/ /pubmed/20698971 http://dx.doi.org/10.1186/1752-1947-4-261 Text en Copyright ©2010 Brener et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Brener, Zachary Z
Paiusco, Augusto D
Bergman, Michael
Acute liver failure following hemodialysis arteriovenous graft placement: a case report
title Acute liver failure following hemodialysis arteriovenous graft placement: a case report
title_full Acute liver failure following hemodialysis arteriovenous graft placement: a case report
title_fullStr Acute liver failure following hemodialysis arteriovenous graft placement: a case report
title_full_unstemmed Acute liver failure following hemodialysis arteriovenous graft placement: a case report
title_short Acute liver failure following hemodialysis arteriovenous graft placement: a case report
title_sort acute liver failure following hemodialysis arteriovenous graft placement: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2924356/
https://www.ncbi.nlm.nih.gov/pubmed/20698971
http://dx.doi.org/10.1186/1752-1947-4-261
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