Cardiac Cirrhosis–An Uncommon Manifestation of Common Disease

Submitted by sysadmin1 on Tue, 11/22/2016 - 15:00
Oncology, Gastroenterology and Hepatology Reports,2017,6,1,28-30.
Published:November 2016
Type:Case Report

Cardiac Cirrhosis–An Uncommon Manifestation of Common Disease

Jaideep Khare1*, Prachi Srivastava2, Jyoti Wadhwa1, Prasun Deb1

1Department of Endocrinology, Krishna Institute of Medical Sciences, Secunderabad, INDIA.

2Department of Dermatology, Krishna Institute of Medical Sciences, Secunderabad, INDIA.

Abstract:

Background: Chronic Right Heart failure is known to cause Liver Cirrhosis but it is rare. Here we are reporting the case of cardiac cirrhosis presented to us with signs of Liver Failure. Case Report : 50 year male, farmer, chronic smoker presented with progressive abdominal distension and episodes of malena since 6 months and an episode of hematemasis. On work up Liver cirrhosis was diagnosed but cause for cirrhosis was not established and on general examination pulse was irregular and features of pulmonary hypertension were present. On reviewing he revealed history of chronic cough and breathlessness with winter exacerbations and pedal edema. Chest X-ray suggested cardiomegaly, ECG suggested low voltage complex with poor R wave progression and 2-D Echo suggested pulmonary hypertension with tricuspid regurgitation with right sided dysfunction suggesting cardiac cause for cirrhosis. Conclusion: Chronic Right Heart Failure is known but rare cause of Liver cirrhosis.

2D- Echocardiography showing grade 3 tricuspid regurgitation