Case report: Cardio-renal syndrome with concomitant cardio-hepatic syndrome in a severe aortic stenosis patient

Quang Ngoc Nguyen,Hanh Duc Van,Hung Manh Pham

doi:10.15761/ccrr.1000468

Abstract

Case report: Cardio-renal syndrome with concomitant cardio-hepatic syndrome in a severe aortic stenosis patient

Highlights

Unstable systemic hemodynamics in acute heart failure causes various detrimental effects on organs
The heart-kidney and heart-liver interactions have been investigated under the terms “cardio-renal syndrome (CRS)” and “cardio-hepatic syndrome (CHS)”, respectively [1,2]
While type 1 CRS is characterized by acute and rapid worsening of the heart leading to acute kidney injury, type 1 CHS describes the relationship between abnormal liver function tests and the the severity of acute heart failure

Summary

Background

Unstable systemic hemodynamics in acute heart failure causes various detrimental effects on organs. After taking a too much salt meal, the patient reported dyspnea and fatigue three days prior His past medical history included severe aortic stenosis three years prior, but he refused any intervention or surgical treatment. He had no history of kidney and liver diseases. Aortic valve replacement or transcatheter aortic valve implantation was considered, but his family refused On day two, his clinical condition worsened with unstable hemodynamics. His clinical condition worsened with unstable hemodynamics His blood pressure was 80/50 mmHg, heart rate 120 bpm and urine output 0.4 ml/kg/hour. PHAM HM (2019) Case report: Cardio-renal syndrome with concomitant cardio-hepatic syndrome in a severe aortic stenosis patient balloon valvuloplasty and noradrenalin and dobutamine infusion. The patient recovered well and was discharged on day 11

Findings

Discussion

Conclusion