Abstract
Heart failure is a recognized, although uncommon, cause of massive liver cell necrosis, the clinical consequences of which are intermingled with those of cardiac insufficiency in most cases. We report the cases of six patients suffering from chronic heart failure in whom an episode of acute circulatory failure resulted in massive liver cell necrosis and fulminant hepatic failure. The manifestations of fulminant hepatic failure, ie, hepatic encephalology, jaundice, and marked increase in prothrombin time, developed after an interval of one to three days, after the episode of acute circulatory failure, while the patients' hemodynamic condition had returned to the previous basal status.
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References
Sherlock S: The liver in circulatory failure. Diseases of the Liver, L Schiff (ed). Philadelphia, JB Lippincott, 1975, pp 1033–1050
Larcan A, Lambert H, Rauber G, Laprevote-Heully MC, Delorme N: L'atteinte hépatique au cours des états de choc (“foie de choc”). Etude étioloqique, clinique, biologique et anatomopathologique d'une série de 89 cas. Gastroenterol Clin Biol 3:105–118, 1979
Rueff B, Benhamou JP: Acute hepatic necrosis and fulminant hepatic failure. Gut 14:805–815, 1973
Conn HO: Asterixis in non hepatic disorders. Am J Med 29:647–661, 1960
Eisenberg S, Madison L, Sensenbach W: Cerebral hemodynamic and metabolic studies in patients with congestive heart failure. II. Observations in confused subjects. Circulation 21:704–709, 1960
Case Records of the Massachusetts General Hospital: Case 44212. N Engl J Med 258:1058–1063, 1958
Logan RG, Mowry FM, Judge RD: Cardiac failure simulating viral hepatitis. Three cases with serum transaminase levels above 1000. Ann Intern Med 56:784–788, 1962
Case Records of the Massachusetts General Hospital: Case 23-1964. N Engl J Med 270:1005–1013, 1964
Case Records of the Massachusetts General Hospital: Case 32-1972. N Engl J Med 287:296–303, 1972
Drouin B, Derrida JP, Bouvrain Y: Foie cardiaque aigu simulant une hépatite virale. Coeur Med Interne 15:295–299, 1976
Kisloff B, Schaffer G: Fulminant hepatic failure secondary to congestive heart failure. Am J Dig Dis 21:895–900, 1976
Vo Huu Tri, Scheinmann N, Thomas M: Les insuffisances hépatiques suraiguës d'origine cardiaque. Ann Med Interne (Paris) 128:965–968, 1977
Kaymakcalan H, Dourdourekas D, Szanto PB, Steigmann F: Congestive heart failure as cause of fulminant hepatic failure. Am J Med 65:384–388, 1978
Benzing G III, Schubert W, Hug G, Kaplan S: Simultaneous hypoglycemia and acute congestive heart failure. Circulation 40:209–216, 1969
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Nouel, O., Henrion, J., Bernuau, J. et al. Fulminant hepatic failure due to transient circulatory failure in patients with chronic heart disease. Digest Dis Sci 25, 49–52 (1980). https://doi.org/10.1007/BF01312732
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DOI: https://doi.org/10.1007/BF01312732