Refractory hypotension and edema caused by right atrial compression in a woman with polycystic kidney disease

Post-operative refractory hypotension due to right heart compression by hepatic cysts in a patient with autosomal dominant polycystic kidney disease

“…And another patient recovered spontaneously after abdominal blunt trauma (cyst size decreased from 23 cm to 11 cm within a few days). [23] Our patient was the first reported male patient with such post-operative complications.…”

“…[23] The number and size of cysts in the liver increase with age, multiple pregnancies and due to effect of estrogen. [34] Both patients reported previously were females.…”

Polycystic Liver With Cardiac Compression Leading to Atrial Fibrillation: Case Report and Review of the Literature

“…Computed tomography (CT) scan of the abdomen and pelvis performed to evaluate for hepatomegaly revealed a markedly enlarged liver containing innumerable cysts, largest [3]. Compression of the heart by hepatic cyst has been reported in the medical literature, most commonly presenting as right-sided heart failure [4][5][6][7]. Ker reported a case of a simple liver cyst with occasional right atrium compression on echocardiograph, resulting in atrial premature beats [8].…”

Right atrial compression due to diaphragmatic eventration after liver transplantation: Successful treatment by diaphragmatic plication

“…There are case reports in the literature describing enlarged polycystic kidneys causing right atrial compression and hemodynamic compromise. 8,9 Diaphragmatic paralysis is diagnosed by an elevated hemidiaphragm on a chest X-ray. The sniff test under fluoroscopy or ultrasound can confirm the diagnosis.…”