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

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...

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Bibliographic Details
Published in:HPB surgery 1993-01, Vol.7 (1), p.53-59
Main Authors: Oishi, Andrew J., Nagorney, David M., Cherry, Kenneth J.
Format: Article
Language:English
Online Access:Get full text
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Summary: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.
ISSN:0894-8569
1607-8462
DOI:10.1155/1993/95416