Acute hepatic failure caused by an acute aortic dissection with cardiac tamponade: Case report

Sommerville, R. S., Atherton, J., Leditschke, I. A. and Fraser, J. F. (2004) Acute hepatic failure caused by an acute aortic dissection with cardiac tamponade: Case report. Critical Care and Resuscitation, 6 2: 105-108.


Author Sommerville, R. S.
Atherton, J.
Leditschke, I. A.
Fraser, J. F.
Title Acute hepatic failure caused by an acute aortic dissection with cardiac tamponade: Case report
Journal name Critical Care and Resuscitation   Check publisher's open access policy
ISSN 1441-2772
Publication date 2004-06
Sub-type Article (original research)
Volume 6
Issue 2
Start page 105
End page 108
Total pages 4
Place of publication Bedford Park, South Australia
Publisher Australasian Academy of Critical Care Medicine
Language eng
Subject 11 Medical and Health Sciences
1117 Public Health and Health Services
Abstract An acute cardiac tamponade from any cause may result in rapid deterioration of hepatic function in a previously healthy patient. We describe a case of an acute ascending aortic dissection that presented as acute hepatic failure, due to an acute cardiac tamponade and severe right heart failure. The differential diagnosis of the aetiology of acute liver failure is extensive and includes poisonings, vascular obstruction and sepsis, particularly on the background of decompensated liver disease. Many of these conditions are associated with hypotension. The acute presentation in our patient, combined with the lack of a characteristic history delayed the diagnosis of a proximal (type A) dissection with tamponade and subsequent hepatic failure. Severe right-sided heart failure as a result of conditions such as cardiac tamponade should be excluded in patients presenting with acute hepatic failure of unknown aetiology.
Keyword Acute cardiac tamponade
Hepatic function
Poisoning
Liver Disease
Q-Index Code C1
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Medicine Publications
 
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Created: Tue, 05 Jan 2010, 13:45:48 EST by Ms May Balasaize on behalf of Faculty Of Health Sciences