Fulminant liver failure: an indicator of silent myocardial rupture.
case_report · Level V
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- Record sourced from PubMed, PMID 15356360.
- Also identified by PMC identifier 1743103.
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Abstract
A 56 year old man presented with an atypical chest infection. Remote inferoposterior myocardial infarction was noted on electrocardiography and transthoracic echocardiography. Hepatic failure developed with sudden gross elevation of liver aminotransferases and coagulopathy. No primary hepatic cause could be identified. Subsequent right heart failure led to transoesophageal echocardiography that revealed a large inoperable ventricular septal defect. Histopathological data showed ischaemic hepatitis and reinfarction of the inferoposterior myocardial wall. Acute cardiac events may be silent and precipitate misleading severe hepatic dysfunction.
Medical subject headings
- Heart Rupture, Post-Infarction
- Liver Failure, Acute