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Portal Hypertension, Variceal Bleeding, and High Output Cardiac Failure Secondary to an Intrahepatic Arterioportal Fistula
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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