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Case Reports
. 2020 Jun 12;4(6):1240-1241.
doi: 10.1002/jgh3.12373. eCollection 2020 Dec.

Unusual liver-related heart injury

Riccardo Nevola  1   2 , Valerio Rosato  1 , Pasquale Perillo  1 , Nicolino Esposito  1 , Domenico Massa  1   3 , Anna Maria Frascino  1   3 , Vittorio Capurro  1 , Ernesto Claar  1
Affiliations
Case Reports

Unusual liver-related heart injury

Riccardo Nevola et al. JGH Open. .

Abstract

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.

Keywords: cardiac tamponade; liver cysts; polycystic liver disease; shock.

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Conflict of interest statement

None

Figures

Figure 1
Figure 1
(a) Bed‐side cardiac ultrasound (apical 4‐chamber) showed a right atrial compression, caused by massive liver cysts; (b) computed tomography showed the presence of multiple liver cysts and their mass effect.
See this image and copyright information in PMC

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