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Abdominal Radiology

Erschienen in:

17.11.2017 | Invited article

Congestive hepatopathy

verfasst von: Michael L. Wells, Sudhakar K. Venkatesh

Erschienen in: Abdominal Radiology | Ausgabe 8/2018

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Abstract

Passive hepatic congestion may result from a variety of distinct cardiovascular conditions. Injury to the liver caused by congestion is often asymptomatic and may not be recognized clinically. Diagnosis of congestive hepatopathy is important as it has the potential to cause complications including hepatic fibrosis and development of benign and malignant liver masses. This review will summarize the pathophysiologic mechanisms of congestive hepatopathy and provide both description and examples of its multimodality imaging findings. Examples of alternative disease which may have a similar imaging appearance will be provided. Knowledge regarding the characteristic imaging findings of congestive hepatopathy will allow for its accurate identification. Reviewing both the benefits and limitations of imaging performed to evaluate congestive hepatopathy and its complications will help to avoid pitfalls and enable recommendation of appropriate next steps in diagnostic evaluation.

Giallourakis CC, Rosenberg PM, Friedman LS (2002) The liver in heart failure. Clin Liver Dis 6(4):947–967CrossRefPubMed

Tanaka M, Wanless IR (1998) Pathology of the liver in Budd-Chiari syndrome: portal vein thrombosis and the histogenesis of veno-centric cirrhosis, veno-portal cirrhosis, and large regenerative nodules. Hepatology 27(2):488–496. https://doi.org/10.1002/hep.510270224 CrossRefPubMed

Fan CQ, Crawford JM (2014) Sinusoidal obstruction syndrome (hepatic veno-occlusive disease). J Clin Exp Hepatol 4(4):332–346. https://doi.org/10.1016/j.jceh.2014.10.002 CrossRefPubMedPubMedCentral

Fredenburg TB, Johnson TR, Cohen MD (2011) The Fontan procedure: anatomy, complications, and manifestations of failure. Radiographics 31(2):453–463. https://doi.org/10.1148/rg.312105027 CrossRefPubMed

Koehne de Gonzalez AK, Lefkowitch JH (2017) Heart disease and the liver: pathologic evaluation. Gastroenterol Clin North Am 46(2):421–435. https://doi.org/10.1016/j.gtc.2017.01.012 CrossRefPubMed

Dunn GD, Hayes P, Breen KJ, Schenker S (1973) The liver in congestive heart failure: a review. Am J Med Sci 265(3):174–189CrossRefPubMed

Schiff ER, Maddrey WC, Sorrell MF (2011) Schiff’s diseases of the liver, 11th edn. Oxford: Wiley-BlackwellCrossRef

Shah H, Kuehl K, Sherker AH (2010) Liver disease after the Fontan procedure: what the hepatologist needs to know. J Clin Gastroenterol 44(6):428–431. https://doi.org/10.1097/MCG.0b013e3181d476fc PubMedCrossRef

Sherlock S (1951) The liver in heart failure; relation of anatomical, functional, and circulatory changes. Br Heart J 13(3):273–293CrossRefPubMedPubMedCentral

10.

Wanless IR, Liu JJ, Butany J (1995) Role of thrombosis in the pathogenesis of congestive hepatic fibrosis (cardiac cirrhosis). Hepatology 21(5):1232–1237PubMed

11.

Myers RP, Cerini R, Sayegh R, et al. (2003) Cardiac hepatopathy: clinical, hemodynamic, and histologic characteristics and correlations. Hepatology 37(2):393–400. https://doi.org/10.1053/jhep.2003.50062 CrossRefPubMed

12.

Wells ML, Fenstad ER, Poterucha JT, et al. (2016) Imaging findings of congestive hepatopathy. Radiographics 36(4):1024–1037. https://doi.org/10.1148/rg.2016150207 CrossRefPubMed

13.

Dai DF, Swanson PE, Krieger EV, et al. (2014) Congestive hepatic fibrosis score: a novel histologic assessment of clinical severity. Mod Pathol 27(12):1552–1558. https://doi.org/10.1038/modpathol.2014.79 CrossRefPubMed

14.

Louie CY, Pham MX, Daugherty TJ, Kambham N, Higgins JP (2015) The liver in heart failure: a biopsy and explant series of the histopathologic and laboratory findings with a particular focus on pre-cardiac transplant evaluation. Mod Pathol 28(7):932–943. https://doi.org/10.1038/modpathol.2015.40 CrossRefPubMed

15.

Wells ML, Hough DM, Fidler JL, et al. (2017) Benign nodules in post-Fontan livers can show imaging features considered diagnostic for hepatocellular carcinoma. Abdom Radiol (NY). https://doi.org/10.1007/s00261-017-1181-9 CrossRef

16.

Asrani SK, Warnes CA, Kamath PS (2013) Hepatocellular carcinoma after the Fontan procedure. N Engl J Med 368(18):1756–1757. https://doi.org/10.1056/NEJMc1214222 CrossRefPubMed

17.

Hilscher M, Sanchez W (2016) Congestive hepatopathy. Clin Liver Dis 8(3):68–71CrossRef

18.

Kiesewetter CH, Sheron N, Vettukattill JJ, et al. (2007) Hepatic changes in the failing Fontan circulation. Heart 93(5):579–584. https://doi.org/10.1136/hrt.2006.094516 CrossRefPubMed

19.

Runyon BA (1988) Cardiac ascites: a characterization. J Clin Gastroenterol 10(4):410–412CrossRefPubMed

20.

Kisloff B, Schaffer G (1976) Fulminant hepatic failure secondary to congestive heart failure. Am J Dig Dis 21(10):895–900CrossRefPubMed

21.

Ferral H, Behrens G, Lopera J (2012) Budd-Chiari syndrome. AJR Am J Roentgenol 199(4):737–745. https://doi.org/10.2214/AJR.12.9098 CrossRefPubMed

22.

Henriksson L, Hedman A, Johansson R, Lindstrom K (1982) Ultrasound assessment of liver veins in congestive heart failure. Acta Radiol Diagn (Stockh) 23(4):361–363CrossRef

23.

Moreno FL, Hagan AD, Holmen JR, et al. (1984) Evaluation of size and dynamics of the inferior vena cava as an index of right-sided cardiac function. Am J Cardiol 53(4):579–585CrossRefPubMed

24.

Scheinfeld MH, Bilali A, Koenigsberg M (2009) Understanding the spectral Doppler waveform of the hepatic veins in health and disease. Radiographics 29(7):2081–2098. https://doi.org/10.1148/rg.297095715 CrossRefPubMed

25.

Wood MM, Romine LE, Lee YK, et al. (2010) Spectral Doppler signature waveforms in ultrasonography: a review of normal and abnormal waveforms. Ultrasound Q 26(2):83–99. https://doi.org/10.1097/RUQ.0b013e3181dcbf67 CrossRefPubMed

26.

Abu-Yousef MM, Milam SG, Farner RM (1990) Pulsatile portal vein flow: a sign of tricuspid regurgitation on duplex Doppler sonography. AJR Am J Roentgenol 155(4):785–788. https://doi.org/10.2214/ajr.155.4.2119108 CrossRefPubMed

27.

Gore RM, Mathieu DG, White EM, et al. (1994) Passive hepatic congestion: cross-sectional imaging features. AJR Am J Roentgenol 162(1):71–75. https://doi.org/10.2214/ajr.162.1.8273693 CrossRefPubMed

28.

Torabi M, Hosseinzadeh K, Federle MP (2008) CT of nonneoplastic hepatic vascular and perfusion disorders. Radiographics 28(7):1967–1982. https://doi.org/10.1148/rg.287085067 CrossRefPubMed

29.

Bae KT (2010) Intravenous contrast medium administration and scan timing at CT: considerations and approaches. Radiology 256(1):32–61. https://doi.org/10.1148/radiol.10090908 CrossRefPubMed

30.

Kavoliuniene A, Vaitiekiene A, Cesnaite G (2013) Congestive hepatopathy and hypoxic hepatitis in heart failure: a cardiologist’s point of view. Int J Cardiol 166(3):554–558. https://doi.org/10.1016/j.ijcard.2012.05.003 CrossRefPubMed

31.

Moller S, Bernardi M (2013) Interactions of the heart and the liver. Eur Heart J 34(36):2804–2811. https://doi.org/10.1093/eurheartj/eht246 CrossRefPubMed

32.

Holley HC, Koslin DB, Berland LL, Stanley RJ (1989) Inhomogeneous enhancement of liver parenchyma secondary to passive congestion: contrast-enhanced CT. Radiology 170(3 Pt 1):795–800. https://doi.org/10.1148/radiology.170.3.2916031 CrossRefPubMed

33.

Millonig G, Friedrich S, Adolf S, et al. (2010) Liver stiffness is directly influenced by central venous pressure. J Hepatol 52(2):206–210. https://doi.org/10.1016/j.jhep.2009.11.018 CrossRefPubMed

34.

Hopper I, Kemp W, Porapakkham P, et al. (2012) Impact of heart failure and changes to volume status on liver stiffness: non-invasive assessment using transient elastography. Eur J Heart Fail 14(6):621–627. https://doi.org/10.1093/eurjhf/hfs044 CrossRefPubMed

35.

Colli A, Pozzoni P, Berzuini A, et al. (2010) Decompensated chronic heart failure: increased liver stiffness measured by means of transient elastography. Radiology 257(3):872–878. https://doi.org/10.1148/radiol.10100013 CrossRefPubMed

36.

Chon YE, Kim SU, Park JY, et al. (2014) Dynamics of the liver stiffness value using transient elastography during the perioperative period in patients with valvular heart disease. PLoS ONE 9(3):e92795. https://doi.org/10.1371/journal.pone.0092795 CrossRefPubMedPubMedCentral

37.

Yoneda M, Thomas E, Garcia-Buitrago MT, Schiff ER (2015) decreasing liver stiffness following pericardiectomy for constrictive pericarditis. Intern Med 54(16):2079–2080. https://doi.org/10.2169/internalmedicine.54.4961 CrossRefPubMed

38.

Poterucha JT, Johnson JN, Qureshi MY, et al. (2015) Magnetic resonance elastography: a novel technique for the detection of hepatic fibrosis and hepatocellular carcinoma after the fontan operation. Mayo Clin Proc. https://doi.org/10.1016/j.mayocp.2015.04.020 PubMedCentralCrossRefPubMed

39.

Venkatesh SK, Wells ML, Miller FH, Jhaveri KS, Silva AC, Taouli B, Ehman RL (In Press) Magnetic resonance elastography: beyond liver fibrosis- a case based pictorial review. Abdom Radiol

40.

Shin NY, Kim MJ, Lim JS, et al. (2012) Accuracy of gadoxetic acid-enhanced magnetic resonance imaging for the diagnosis of sinusoidal obstruction syndrome in patients with chemotherapy-treated colorectal liver metastases. Eur Radiol 22(4):864–871. https://doi.org/10.1007/s00330-011-2333-x CrossRefPubMed

41.

Mohty M, Malard F, Abecassis M, et al. (2015) Sinusoidal obstruction syndrome/veno-occlusive disease: current situation and perspectives-a position statement from the European Society for Blood and Marrow Transplantation (EBMT). Bone Marrow Transplant 50(6):781–789. https://doi.org/10.1038/bmt.2015.52 CrossRefPubMedPubMedCentral

42.

Kleber C, Buschmann CT (2013) Clinical implications of immediate or later periportal edema in MS-CT trauma scans: surrogate parameter of intravenous fluid status and venous congestion. Emerg Radiol 20(3):197–202. https://doi.org/10.1007/s10140-012-1100-x CrossRefPubMed

43.

Shanmuganathan K, Mirvis SE, Amoroso M (1993) Periportal low density on CT in patients with blunt trauma: association with elevated venous pressure. AJR Am J Roentgenol 160(2):279–283. https://doi.org/10.2214/ajr.160.2.8424335 CrossRefPubMed

44.

Boyd JH, Forbes J, Nakada TA, Walley KR, Russell JA (2011) Fluid resuscitation in septic shock: a positive fluid balance and elevated central venous pressure are associated with increased mortality. Crit Care Med 39(2):259–265. https://doi.org/10.1097/CCM.0b013e3181feeb15 CrossRefPubMed

45.

Gore RM, Levine MS (2015) Textbook of gastrointestinal radiology, 4th edn. Philadelphia: Elsevier

46.

Yoo SM, Lee HY, Song IS, et al. (2010) Acute hepatitis A: correlation of CT findings with clinical phase. Hepatogastroenterology 57(102–103):1208–1214PubMed

47.

Chundru S, Kalb B, Arif-Tiwari H, et al. (2014) MRI of diffuse liver disease: characteristics of acute and chronic diseases. Diagn Interv Radiol 20(3):200–208. https://doi.org/10.5152/dir.2014.13170 CrossRefPubMedPubMedCentral

48.

Bader TR, Beavers KL, Semelka RC (2003) MR imaging features of primary sclerosing cholangitis: patterns of cirrhosis in relationship to clinical severity of disease. Radiology 226(3):675–685. https://doi.org/10.1148/radiol.2263011623 CrossRefPubMed

49.

Eaton JE, Dzyubak B, Venkatesh SK, et al. (2016) Performance of magnetic resonance elastography in primary sclerosing cholangitis. J Gastroenterol Hepatol 31(6):1184–1190. https://doi.org/10.1111/jgh.13263 CrossRefPubMedPubMedCentral

Titel: Congestive hepatopathy
verfasst von: Michael L. Wells
Sudhakar K. Venkatesh
Publikationsdatum: 17.11.2017
Verlag: Springer US
Erschienen in: Abdominal Radiology / Ausgabe 8/2018
Print ISSN: 2366-004X
Elektronische ISSN: 2366-0058
DOI: https://doi.org/10.1007/s00261-017-1387-x

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