Masatsugu Miyagawa, Riku Arai*, Yuki Saito, Daisuke Fukamachi, Naotaka Akutsu, Yasuo Okumura
Although liver failure caused by heart failure is mostly reversible, we herein experienced a report presented with irreversible LF and acute liver atrophy in patients with cardiogenic shock. A 72 years old woman was diagnosed with cardiogenic shock with acute liver insufficiency. Management focusing on the underlying acute HF improved heart function. However, liver dysfunction got gradually worse, and she finally died due to not HF, but irreversible liver dysfunction with acute liver atrophy. In cases of severe HF with liver failure, we often devote to treatment of HF with congestive liver or low output liver in mind, but if only liver function does not improve even though HF is being compensated, it is necessary to discuss intervention for the liver, such as artificial liver support and liver transplantation, in consideration of complications of fulminant hepatitis.
Published Date: 2020-10-22; Received Date: 2020-10-01