Acute ischemic hepatitis in aortocaval fistula

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objectives. To characterise liver dysfunction in patients with aortocaval fistula. Design. Retrospective study. Materials. All four patients operated on for aortocaval fistula between 1999 and 2003. Three were males with ruptured abdominal aortic aneurysm (AAA). One was a female who underwent lumbar disk surgery. Four patients operated on for ruptured AAA were used as controls. Methods. Measurement Of serum aspartate aminotransferase (AST), alanine amino transferase (ALT), lactate dehydrogenase (LDH) and creatinine from the preoperative period until full recovery. Results. The median delay between the presumed formation of the fistula and surgery was 2 days (range 1-3 days). High levels of AST, ALT and LDH were observed in all patients, starting from the preoperative period, reaching the maximum on the first two postoperative days and normalising thereafter. Median peak values were: AST=4256 IU/l (range 816-7779), ALT=2487 IU/l (range 960-5645) and LDH=15165 IU/l (range 3122-32361). Serum creatinine also sustained alterations with a similar time course. Median peak values were: 256 mumol/l (range 230-468). All the patients survived. Conclusions. Acute ischemic hepatitis appears to be a consistent or, at least, a common complication of aortocaval fistula. Although a concern during the perioperative period, its course is benign and fully resolves upon successful surgery.
Original languageUnknown
Pages (from-to)239-243
JournalEuropean Journal Of Vascular And Endovascular Surgery
Volume29
Issue number3
DOIs
Publication statusPublished - 1 Jan 2005

Keywords

    Cite this

    @article{fd86b10c54fc4a1288bb896794e342b2,
    title = "Acute ischemic hepatitis in aortocaval fistula",
    abstract = "Objectives. To characterise liver dysfunction in patients with aortocaval fistula. Design. Retrospective study. Materials. All four patients operated on for aortocaval fistula between 1999 and 2003. Three were males with ruptured abdominal aortic aneurysm (AAA). One was a female who underwent lumbar disk surgery. Four patients operated on for ruptured AAA were used as controls. Methods. Measurement Of serum aspartate aminotransferase (AST), alanine amino transferase (ALT), lactate dehydrogenase (LDH) and creatinine from the preoperative period until full recovery. Results. The median delay between the presumed formation of the fistula and surgery was 2 days (range 1-3 days). High levels of AST, ALT and LDH were observed in all patients, starting from the preoperative period, reaching the maximum on the first two postoperative days and normalising thereafter. Median peak values were: AST=4256 IU/l (range 816-7779), ALT=2487 IU/l (range 960-5645) and LDH=15165 IU/l (range 3122-32361). Serum creatinine also sustained alterations with a similar time course. Median peak values were: 256 mumol/l (range 230-468). All the patients survived. Conclusions. Acute ischemic hepatitis appears to be a consistent or, at least, a common complication of aortocaval fistula. Although a concern during the perioperative period, its course is benign and fully resolves upon successful surgery.",
    keywords = "aneurysm, arteriovenous-fistulas, aortic-aneurysm, caval, liver, aortocaval, arteriovenous, diagnosis, hepatitis, dysfunction, renal, ischemic, fistulas, iliac, fistula, failure, abdominal, aortic",
    author = "Albino, {Jos{\'e} Ant{\'o}nio Pereira}",
    year = "2005",
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    day = "1",
    doi = "10.1016/j.ejvs.2004.12.006",
    language = "Unknown",
    volume = "29",
    pages = "239--243",
    journal = "European Journal Of Vascular And Endovascular Surgery",
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    }

    Acute ischemic hepatitis in aortocaval fistula. / Albino, José António Pereira.

    In: European Journal Of Vascular And Endovascular Surgery, Vol. 29, No. 3, 01.01.2005, p. 239-243.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Acute ischemic hepatitis in aortocaval fistula

    AU - Albino, José António Pereira

    PY - 2005/1/1

    Y1 - 2005/1/1

    N2 - Objectives. To characterise liver dysfunction in patients with aortocaval fistula. Design. Retrospective study. Materials. All four patients operated on for aortocaval fistula between 1999 and 2003. Three were males with ruptured abdominal aortic aneurysm (AAA). One was a female who underwent lumbar disk surgery. Four patients operated on for ruptured AAA were used as controls. Methods. Measurement Of serum aspartate aminotransferase (AST), alanine amino transferase (ALT), lactate dehydrogenase (LDH) and creatinine from the preoperative period until full recovery. Results. The median delay between the presumed formation of the fistula and surgery was 2 days (range 1-3 days). High levels of AST, ALT and LDH were observed in all patients, starting from the preoperative period, reaching the maximum on the first two postoperative days and normalising thereafter. Median peak values were: AST=4256 IU/l (range 816-7779), ALT=2487 IU/l (range 960-5645) and LDH=15165 IU/l (range 3122-32361). Serum creatinine also sustained alterations with a similar time course. Median peak values were: 256 mumol/l (range 230-468). All the patients survived. Conclusions. Acute ischemic hepatitis appears to be a consistent or, at least, a common complication of aortocaval fistula. Although a concern during the perioperative period, its course is benign and fully resolves upon successful surgery.

    AB - Objectives. To characterise liver dysfunction in patients with aortocaval fistula. Design. Retrospective study. Materials. All four patients operated on for aortocaval fistula between 1999 and 2003. Three were males with ruptured abdominal aortic aneurysm (AAA). One was a female who underwent lumbar disk surgery. Four patients operated on for ruptured AAA were used as controls. Methods. Measurement Of serum aspartate aminotransferase (AST), alanine amino transferase (ALT), lactate dehydrogenase (LDH) and creatinine from the preoperative period until full recovery. Results. The median delay between the presumed formation of the fistula and surgery was 2 days (range 1-3 days). High levels of AST, ALT and LDH were observed in all patients, starting from the preoperative period, reaching the maximum on the first two postoperative days and normalising thereafter. Median peak values were: AST=4256 IU/l (range 816-7779), ALT=2487 IU/l (range 960-5645) and LDH=15165 IU/l (range 3122-32361). Serum creatinine also sustained alterations with a similar time course. Median peak values were: 256 mumol/l (range 230-468). All the patients survived. Conclusions. Acute ischemic hepatitis appears to be a consistent or, at least, a common complication of aortocaval fistula. Although a concern during the perioperative period, its course is benign and fully resolves upon successful surgery.

    KW - aneurysm

    KW - arteriovenous-fistulas

    KW - aortic-aneurysm

    KW - caval

    KW - liver

    KW - aortocaval

    KW - arteriovenous

    KW - diagnosis

    KW - hepatitis

    KW - dysfunction

    KW - renal

    KW - ischemic

    KW - fistulas

    KW - iliac

    KW - fistula

    KW - failure

    KW - abdominal

    KW - aortic

    U2 - 10.1016/j.ejvs.2004.12.006

    DO - 10.1016/j.ejvs.2004.12.006

    M3 - Article

    VL - 29

    SP - 239

    EP - 243

    JO - European Journal Of Vascular And Endovascular Surgery

    JF - European Journal Of Vascular And Endovascular Surgery

    SN - 1078-5884

    IS - 3

    ER -