Causes of cardiac cirrhosis include 1:
- ischaemic heart disease: ~30%
- cardiomyopathy: ~25%
- valvular heart disease: ~25%
- restrictive lung disease: ~15%
- pericardial disease: ~10%
Fibrosis bridging between central zonal regions can occur if passive hepatic congestion persists for a long time. This process is best termed cardiac sclerosis, as unlike in cirrhosis due to noxious or viral insults, there is minimal nodular regeneration.
Features are those of cirrhosis, identical to other causes 3.
Treatment and prognosis
Cardiac cirrhosis may be irreversible even after treatment of the underlying cardiac failure 2.
- 1. Sanyal AJ. Zakim and Boyer's Hepatology: A Textbook of Liver Disease - Expert Consult: Online and Print, 6e. Saunders. ISBN:1437708811. Read it at Google Books - Find it at Amazon
- 2. Torabi M, Hosseinzadeh K, Federle MP. CT of nonneoplastic hepatic vascular and perfusion disorders. Radiographics. 2008;28 (7): 1967-82. Radiographics (full text) - doi:10.1148/rg.287085067 - Pubmed citation
- 3. Gore RM, Levine MS. Textbook of Gastrointestinal Radiology. Elsevier Health Sciences. (2015) ISBN:0323278116. Read it at Google Books - Find it at Amazon