Polycystic Liver With Cardiac Compression Leading to Atrial Fibrillation: Case Report and Review of the Literature.
| Autor: | Elfiky A; Internal Medicine, Staten Island University Hospital - Northwell Health, Staten Island, USA., El Imad CT; Gastroenterology, Staten Island University Hospital - Northwell Health, Staten Island, USA., Karam B; Cardiology, Staten Island University Hospital - Northwell Health, Staten Island, USA., Mulrooney SM; Gastroenterology, Staten Island University Hospital - Northwell Health, Staten Island, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2020 May 05; Vol. 12 (5), pp. e7976. Date of Electronic Publication: 2020 May 05. |
| DOI: | 10.7759/cureus.7976 |
| Abstrakt: | Polycystic liver disease (PCLD) is a rare condition that most often occurs in patients with polycystic kidney disease and less commonly as an isolated liver disease. Complications include cyst rupture, infection, hemorrhage, and compression of surrounding organs by large cysts. We present the case of a patient with a history of PCLD who presented to our hospital with palpitations and was found to have atrial fibrillation. Imaging and echocardiograph revealed a dominant large cyst compressing the right atrium. Other etiologies including thyroid disease, ischemic heart disease, and electrolytes abnormalities were excluded. The patient refused surgical intervention and was conservatively treated with rate control and anticoagulation. To the best of our knowledge, this is the first case of new-onset atrial fibrillation secondary to right atrial compression by a liver cyst. Compression of cardiac chambers resulting in new-onset arrhythmia should be considered when evaluating patients with PCLD. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2020, Elfiky et al.) |
| Databáze: | MEDLINE |
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