Publications by authors named "L Achecar"
Unlabelled: We investigated left ventricular diastolic dysfunction (LVDD) and its relationship with circulatory function and prognosis in cirrhosis with portal hypertension and normal creatinine. Conventional and tissue Doppler (TDI) echocardiography, systemic and hepatic hemodynamics, and the activity of endogenous vasoactive systems (AEVS) were measured prospectively in 80 patients. Plasma renin activity (PRA; >4 ng/mL/hour) was used as a surrogate of effective arterial blood volume.
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- Portal vein thrombosis (PVT) commonly occurs in patients with cirrhosis, and while anticoagulant therapy is a potential treatment, its safety and effectiveness are not well-documented.
- A study of 55 patients with cirrhosis and PVT showed that 60% experienced partial or complete recanalization after starting anticoagulants, with early treatment being crucial for success.
- Although most patients (61.5%) had fewer liver-related issues after recanalization, there was a significant rethrombosis rate once treatment stopped, and some experienced bleeding complications, particularly those with low platelet counts.
We report the case of a liver transplant recipient who developed a "splenic artery steal syndrome" (SASS) successfully treated by partial splenic embolization (PSE). Interestingly, because the patient presented an anatomic variant of the splenic artery (SA) originating from the superior mesenteric artery (SMA), improvement was observed in hepatic artery (HA) flow following PSE that could only be explained by decreased portal perfusion and not by the derivation from the SA.
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