Cardiac Cirrhosis–Case Report of a Rare Manifestation of a Rare Congenital Heart Disease

A.Sai Chandra niveditha; Deepthi Vemuri; B.Lakshmi Prasad; A.Aswini kumar; G.Swarna latha devi

Volume : III, Issue : V, May - 2014

Cardiac Cirrhosis–Case Report of a Rare Manifestation of a Rare Congenital Heart Disease

A. Sai Chandra Niveditha , Deepthi Vemuri, B. Lakshmi Prasad, A. Aswini Kumar, G. Swarna Latha Devi

Abstract :

Cirrhosis presenting with ascites is a common condition we come across. Here, we present a case report of 52 year old lady with recurrent episodes of refractory ascites. She was subsequently diagnosed to have cirrhosis of liver & a complete work–up of hepatic causes for cirrhosis was negative. Later we found the signs of heart failure and an underlying congenital heart disease(CHD) i.e, Congenitally Corrected Transposition of Great Arteries(CCTGA) with Atrial Septal Defect(ASD). CCTGA is a rare disease accounting for 0.5–1% of all the congenital heart diseases1, when undiagnosed in childhood, present with symptoms of Right heart failure in their adult life.2 So we report a case of Cardiac cirrhosis secondary to the chronic congestion from right heart failure3 due to an untreated CCTGA with ASD, to highlight this manifestation of congenital heart disease & also to reiterate the cardiac cause as a differential diagnosis when there is Liver Cirrhosis.