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  • Title: Portal hypertension, variceal bleeding, and high output cardiac failure secondary to an intrahepatic arterioportal fistula.
    Author: Oishi AJ, Nagorney DM, Cherry KJ.
    Journal: HPB Surg; 1993 Aug; 7(1):53-9; discussion 51-2. PubMed ID: 8260435.
    Abstract:
    Intrahepatic arterioportal fistulas (APF) are uncommon complications following hepatic trauma. Large fistulas can result in portal hypertension and cardiovascular compromise. A 46-year-old patient is described who presented with portal hypertension, variceal bleeding, and high output cardiac failure due to a large intrahepatic APF. Surgical closure of the APF by hepatic resection successfully resolved the portal hypertension, prevented further variceal hemorrhage, and restored normal cardiovascular function.
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