Liver Disease From Asymptomatic Constrictive Pericarditis

Abstract

Congestive hepatopathy is a known complication of cardiac disease and is typically identified in the context of an established cardiac diagnosis and profound cardiopulmonary symptoms. We report the case of a 28-year-old man with liver disease secondary to asymptomatic constrictive pericarditis. This case highlights the need for gastroenterologists to consider occult cardiac disease as a cause of unexplained liver dysfunction.

Central Venous Pressure Dropped Early is Associated with Organ Function and Prognosis in Septic Shock Patients

“…High CVP pressure can be transmitted from the right heart atrium to the inferior vena cava and hepatic veins, which can result in liver congestion, cell hypoxia, and even fibrosis. Prothrombin time and TBIL can be high in this condition (12). Studies on the effect of CVP on liver function were mainly performed in liver transplant patients.…”

“…According to the mean CVP over 7 days, the enrolled cases were divided into three groups: low (<8 mmHg), normal (8)(9)(10)(11)(12), and high CVP (>12 mmHg). According to whether CVP dropped to less than 8 mmHg during 7 days, the enrolled cases were divided into two groups: CVP dropped to less than 8 mmHg and CVP did not drop to less than 8 mmHg.…”

“…In recent years, studies of the effects of CVP on organ function or prognosis have generally been carried out on patients with heart failure (2)(3)(4)(5)(6)(7), with few studies on patients with septic shock. Moreover, the consecutive changes of CVP and organ function cannot be expressed in detail because of less time points in previous studies (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)17,18).…”

Delayed Diagnosis Of Constructive Pericarditis Finalized Congested Hepatopathy: Anesthesia Management

“…Bu tür konjesyona bağlı hepatomegalide serum bilirubini ender olarak 3 mg dL -1 'yi geçer. Serum albumini ise çoğu kez normal ve genelde 2,5 g dL -1 üzerindedir [10,11] . Olgumuzda da serum bilirübini düşük, albumini normaldi.…”

Evaluation of liver stiffness with magnetic resonance elastography in patients with constrictive pericarditis: Preliminary findings

“…Of 59 patients with advanced heart failure awaiting cardiac transplant or left ventricular assist device, 80% had hepatic fibrosis including 37% (n=22) with stage 3-4 fibrosis (4). Patients with CP may develop elevated serum liver enzyme levels, hepatic fibrosis, and subsequent liver failure due to chronic venous congestion if left untreated (11-15). …”