Open AccessUnusual liver‐related heart injury
Author(s) -
Nevola Riccardo,
Rosato Valerio,
Perillo Pasquale,
Esposito Nicolino,
Massa Domenico,
Frascino Anna Maria,
Capurro Vittorio,
Claar Ernesto
Publication year - 2020
Publication title -
jgh open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.546
H-Index - 8
ISSN - 2397-9070
DOI - 10.1002/jgh3.12373
Subject(s) - medicine , shock (circulatory) , polycystic liver disease , cyst , heart failure , decompression , complication , emergency department , cardiology , acute kidney injury , surgery , autosomal dominant polycystic kidney disease , liver transplantation , psychiatry , transplantation
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.