Wednesday, February 26, 2020

Congestive hepatopathy

Short post!

In congestive heart failure, the elevated pressure is transmitted from the right heart chambers (right ventricle and atrium) to the hepatic veins and sinusoids leading to intrahepatic edema, decreased perfusion and oxygen diffusion as well as hemorrhagic injury and modification on the hepatocyte architecture and atrophy with associated collagen deposition, and fibrosis to the hepatic veins and sinusoids.

Histopathological studies and subcutaneous transjugular biopsy are the gold standard for the diagnosis of cardiac cirrhosis.

It is important to remember perihepatic fibrosis.

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