High-output congestive heart failure following transjugular intrahepatic portal-systemic shunting

Chest. 1995 May;107(5):1467-9. doi: 10.1378/chest.107.5.1467.


A hyperdynamic circulatory state with elevated cardiac output, decreased peripheral vascular resistance, and sodium retention occurs in patients with portal cirrhosis. Surgical portal-systemic shunts and transjugular intrahepatic portal-systemic shunts (TIPS) have been shown to worsen the high-output state in these patients. However, clinical evidence of high-output congestive heart failure has been reported only rarely to complicate cirrhosis. We describe a patient who developed high-output congestive heart failure with markedly elevated filling pressures after TIPS and had complete resolution of heart failure after liver transplantation.

Publication types

  • Case Reports

MeSH terms

  • Cardiac Output, High / etiology*
  • Heart Failure / etiology*
  • Humans
  • Liver Cirrhosis, Alcoholic / surgery*
  • Male
  • Middle Aged
  • Portasystemic Shunt, Surgical / adverse effects*
  • Portasystemic Shunt, Surgical / methods