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Acute myocardial infarction after selective portal-systemic shunt
1Department of Anaesthesia, Kwong Wah Hospital, Kowloon, Hong Kong.
European Journal of Anaesthesiology
|July 1, 1996
Abstract:
A case of myocardial infarction following a distal splenorenal shunt, a selective portal-systemic shunt, in a cirrhotic patient is reported. The post-operative cardiac morbidity was probably related to the hyperdynamic cardiovascular state associated with liver cirrhosis and the increase in intramyocardial tension upon formation of the distal splenorenal shunt.