Acute myocardial infarction after selective portal-systemic shunt.
A case of myocardial infarction following a distal splenorenal shunt, a selective portal-systemic shunt, in a cirrhotic patient is reported. The post-operative cardiac morbidity was probably related to the hyperdynamic cardiovascular state associated with liver cirrhosis and the increase in intramyocardial tension upon formation of the distal splenorenal shunt.
Sun
K O
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Department of Anaesthesia, Kwong Wah Hospital, Kowloon, Hong Kong.
D000368:Aged; D000787:Angina Pectoris / Q000209:etiology; D001794:Blood Pressure; D002302:Cardiac Output; D002319:Cardiovascular System / Q000503:physiopathology; D002496:Central Venous Pressure; D006333:Heart Failure / Q000209:etiology; D006439:Hemodynamics; D006801:Humans; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications / Q000503:physiopathology; D008297:Male; D009200:Myocardial Contraction; D009203:Myocardial Infarction / Q000209:etiology*; D011669:Pulmonary Wedge Pressure; D013164:Splenorenal Shunt, Surgical / Q000009:adverse effects*; D017180:Tachycardia, Ventricular / Q000209:etiology; D014655:Vascular Resistance