scholarly journals Editorial Discussion of Portal Hypertension, Variceal Bleeding and High Output Cardiac Failure Secondary to an Intrahepatic Arterioportal Fistula

HPB Surgery ◽  
1993 ◽  
Vol 7 (1) ◽  
pp. 51-52
Author(s):  
Layton F. Rikkers ◽  
Merle M. Musselman
Keyword(s):  
Portal Hypertension ◽  
Cardiac Failure ◽  
Variceal Bleeding ◽  
Arterioportal Fistula ◽  
Intrahepatic Arterioportal Fistula ◽  
High Output

scholarly journals Portal Hypertension, Variceal Bleeding, and High Output Cardiac Failure Secondary to an Intrahepatic Arterioportal Fistula

HPB Surgery ◽  
1993 ◽  
Vol 7 (1) ◽  
pp. 53-59 ◽  
Author(s):  
Andrew J. Oishi ◽  
David M. Nagorney ◽  
Kenneth J. Cherry
Keyword(s):  
Portal Hypertension ◽  
Hepatic Resection ◽  
Cardiac Failure ◽  
Variceal Bleeding ◽  
Variceal Hemorrhage ◽  
Hepatic Trauma ◽  
Arterioportal Fistula ◽  
Surgical Closure ◽  
Intrahepatic Arterioportal Fistula ◽  
High Output

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.

scholarly journals Successful surgical treatment for intrahepatic arterioportal fistula with severe portal hypertension: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Hideyuki Takata ◽  
Hiroshi Makino ◽  
Tadashi Yokoyama ◽  
Hiroshi Maruyama ◽  
Atsushi Hirakata ◽  
...  
Keyword(s):  
Case Report ◽  
Portal Hypertension ◽  
Surgical Treatment ◽  
Arterioportal Fistula ◽  
Intrahepatic Arterioportal Fistula

PROGNOSTIC VALUE OF COMBINATION AIMS65 AND MELD SCORES IN CIRRHOTIC PATIENTS WITH ACUTE VARICEAL BLEEDING

2019 ◽  
pp. 35-40
Author(s):  
Thi Nhung Nguyen ◽  
Trung Nam Phan ◽  
Van Huy Tran
Keyword(s):  
Clinical Practice ◽  
Portal Hypertension ◽  
Key Words ◽  
Variceal Bleeding ◽  
Prognostic Value ◽  
High Rate ◽  
Central Hospital ◽  
Acute Variceal Bleeding ◽  
Cirrhotic Patients ◽  
Sensitivity Specificity

Bacground: Variceal bleeding is a severe complication of portal hypertension due to cirrhosis with high rate of motality, hence, predicting early rebleeding and mortality in cirrhotic patients with acute variceal bleeding is vital in clinical practice. Objectives: To evaluate the prognostic value of the combination of AIMS65 and MELD scores in predicting first 5 days in-hospital rebleeding and mortality in cirrhotic patients with acute variceal bleeding. Materials and Methods: 44 cirrhotic patients with acute variceal bleeding hospitalized at Hue Central Hospital. MELD and AIMS65 scores were calculated within the first 24 hours and monitoring rebleeding and mortality in the first 5 days in these patients. Results: AIMS65, MELD scores can predict first 5 days rebleeding and mortality with AUROC are 0.81, 0.69 and 0.92, 0.95, respectively. Combination of AIMS65 and MELD scores can predict first 5 days in hospital rebleeding with AUROC is 0.84, sensitivity 83.3%, specificity 81.6% (p<0.001) and mortality with AUROC is 0.96, sensitivity 100%, specificity 92.7% (p<0.001). Conclusions: The combination of AIMS65 and MELD scores increased the sensitivity, specificity and prognostic value in predicting first 5 days in-hospital rebleeding and mortality in cirrhotic patients with acute variceal bleeding in compare to each single scores. Key words: AiMS65 score, MELd, acute variceal bleeding

Sign in / Sign up

Export Citation Format

Share Document