Portal Hypertension, Variceal Bleeding, and High Output Cardiac Failure Secondary to an Intrahepatic Arterioportal Fistula | Zendy

Andrew J. Oishi | Zendy; David M. Nagorney | Zendy; Kenneth J. Cherry | Zendy

Open Access

Portal Hypertension, Variceal Bleeding, and High Output Cardiac Failure Secondary to an Intrahepatic Arterioportal Fistula

Author(s) -

Andrew J. Oishi,

David M. Nagorney,

Kenneth J. Cherry

Publication year - 1993

Publication title -

hpb surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.561

H-Index - 26

eISSN - 1607-8462

pISSN - 0894-8569

DOI - 10.1155/1993/95416

Subject(s) - medicine , portal hypertension , hepatic function , fistula , portal venous pressure , surgery , gastroenterology , radiology , cardiology , cirrhosis

Intrahepatic arterioportal fistulas (APF) are uncommon complications following hepatic trauma. Large fistulas can result in portal hypertension and cardiovascular compromise. A 46-year-old patient is described who presented with portal hypertension, variceal bleeding, and high output cardiac failure due to a large intrahepatic APF. Surgical closure of the APF by hepatic resection successfully resolved the portal hypertension, prevented further variceal hemorrhage, and restored normal cardiovascular function.

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