scholarly journals Rapid Development of Bleeding Esophageal Varices after Placement of Continuous Flow Left Ventricular Assist Device

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Kaushal Majmudar ◽  
Michael Northcutt ◽  
Robert Gordon ◽  
Claus J. Fimmel
Keyword(s):  
Portal Hypertension ◽  
Esophageal Varices ◽  
Continuous Flow ◽  
Rapid Development ◽  
Fatal Outcome ◽  
Left Ventricular ◽  
Ventricular Assist ◽  
Compensated Cirrhosis ◽  
Bleeding Esophageal Varices ◽  
Cirrhotic Patients

We describe a patient with compensated cirrhosis and portal hypertension who underwent continuous flow LVAD implantation. Shortly after LVAD implantation, the patient developed new onset bleeding esophageal varices and ultimately had a fatal outcome. Our experience suggests that even well-compensated cirrhotic patients with significant portal hypertension are at risk of variceal bleeding after LVAD placement.

A young man with bleeding esophageal varices

2018 ◽  
Vol 1 (1) ◽  
pp. 14-16
Author(s):  
Soonthorn Chonprasertsuk
Keyword(s):  
Risk Factors ◽  
Portal Hypertension ◽  
Liver Function ◽  
Physical Examination ◽  
Esophageal Varices ◽  
Noncirrhotic Portal Hypertension ◽  
Liver Histopathology ◽  
Bleeding Esophageal Varices

The noncirrhotic portal hypertension is an uncommon cause of bleeding esophagealvarices. This condition must be suspected in patients with preserved liver function. We reporta 25-year old man with SLE disease who presented with hematemesis. He had no historyor risk factors for an underlying liver condition. A huge splenomegaly was detectedby physical examination. The EGD found three large varices with red wale sign, whereas liverfunction tests were unremarkable. The noncirrhotic portal hypertension was diagnosedand confirmed by liver histopathology. Figure 1 แสดงผลการส่องกล้องทางเดินอาหารส่วนบนพบ F3 varices with red wale sign

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