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Hepatic Hypoperfusion in Complex Cardiac Pathology: A Case of Ischemic Hepatitis Secondary to Congenital Heart Disease with HFpEF and Atrial Fibrillation

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Case report describes ischemic hepatitis in a patient with congenital heart disease and HFpEF, highlighting potential complications.

Ischemic hepatitis can occur in patients with heart failure and congenital heart disease, even without hypotension.
The patient presented with severe liver enzyme elevations, coagulopathy, and lactic acidosis during her illness.
Management included diuresis and hepatic support, resulting in improved liver function by day 4.
This report emphasizes the need for careful monitoring of liver health in complex cardiac patients to prevent serious complications.

Sadí et al. (2025) studied this question.

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