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Unusual liver‐related heart injury

A 72‐year‐old man with polycystic liver disease and unexplained shock was admitted to our Emergency Department. The presence of turgidity in the jugular veins and acute prerenal kidney failure led to a possible hypothesis of right ventricular heart failure. A massive hepatic cyst resulted in right a...

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Detalles Bibliográficos
Autores principales: Nevola, Riccardo, Rosato, Valerio, Perillo, Pasquale, Esposito, Nicolino, Massa, Domenico, Frascino, Anna Maria, Capurro, Vittorio, Claar, Ernesto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wiley Publishing Asia Pty Ltd 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7731809/
https://www.ncbi.nlm.nih.gov/pubmed/33319066
http://dx.doi.org/10.1002/jgh3.12373
Descripción
Sumario:A 72‐year‐old man with polycystic liver disease and unexplained shock was admitted to our Emergency Department. The presence of turgidity in the jugular veins and acute prerenal kidney failure led to a possible hypothesis of right ventricular heart failure. A massive hepatic cyst resulted in right atrial compression and, secondarily, a state of shock. Surgical decompression by drainage of the hepatic cyst resulted in rapid improvement in the patient's hemodynamics. We report the description of an extremely rare complication of polycystic liver disease.