Cardiac sclerosis

Nutmeg liver • Nutmeg liver - Ganzer Fall bei Radiopaedia

Nutmeg liver

• Nutmeg liver - Ganzer Fall bei Radiopaedia

D'Souza D, Nutmeg liver. Case study, Radiopaedia.org (Accessed on 09 Dec 2022) https://doi.org/10.53347/rID-36058 • CC by-nc-sa 3.0 (modified)

Chronische Stauungsleber / Muskatnussleber in der Computertomographie bei einer 69-jährigen in der portalvenösen Kontrastmittelphase. Axial und coronar. Zusätzlich reichlich Aszites.

Chronische

Stauungsleber / Muskatnussleber in der Computertomographie bei einer 69-jährigen in der portalvenösen Kontrastmittelphase. Axial und coronar. Zusätzlich reichlich Aszites.

Wikipedia • CC BY-SA 3.0

Nutmeg liver • Chronic congestion "nutmeg" liver (gross pathology) - Ganzer Fall bei Radiopaedia

Nutmeg liver

• Chronic congestion "nutmeg" liver (gross pathology) - Ganzer Fall bei Radiopaedia

Hayman J, Chronic congestion "nutmeg" liver (gross pathology). Case study, Radiopaedia.org (Accessed on 09 Dec 2022) https://doi.org/10.53347/rID-150597 • CC by-nc-sa 3.0 (modified)

Nutmeg liver • Nutmeg appearance of the liver - Ganzer Fall bei Radiopaedia

Nutmeg liver

• Nutmeg appearance of the liver - Ganzer Fall bei Radiopaedia

Bates D, Nutmeg appearance of the liver. Case study, Radiopaedia.org (Accessed on 09 Dec 2022) https://doi.org/10.53347/rID-22879 • CC by-nc-sa 3.0 (modified)

Nutmeg liver • Nutmeg liver - Ganzer Fall bei Radiopaedia

Nutmeg liver

• Nutmeg liver - Ganzer Fall bei Radiopaedia

Hartung M, Nutmeg liver. Case study, Radiopaedia.org (Accessed on 09 Dec 2022) https://doi.org/10.53347/rID-63845 • CC by-nc-sa 3.0 (modified)

Nutmeg liver • Massive pericardial effusion, nutmeg liver - Ganzer Fall bei Radiopaedia

Nutmeg liver

• Massive pericardial effusion, nutmeg liver - Ganzer Fall bei Radiopaedia

Hartung M, Massive pericardial effusion, nutmeg liver. Case study, Radiopaedia.org (Accessed on 09 Dec 2022) https://doi.org/10.53347/rID-78354 • CC by-nc-sa 3.0 (modified)

Passive hepatic congestion • Hepatic congestion - Ganzer Fall bei Radiopaedia

Passive

hepatic congestion • Hepatic congestion - Ganzer Fall bei Radiopaedia

Simkin P, Hepatic congestion. Case study, Radiopaedia.org (Accessed on 09 Dec 2022) https://doi.org/10.53347/rID-33560 • CC by-nc-sa 3.0 (modified)

Passive hepatic congestion • Passive hepatic congestion - Ganzer Fall bei Radiopaedia

Passive

hepatic congestion • Passive hepatic congestion - Ganzer Fall bei Radiopaedia

Abdelmonem H, Passive hepatic congestion. Case study, Radiopaedia.org (Accessed on 09 Dec 2022) https://doi.org/10.53347/rID-63799 • CC by-nc-sa 3.0 (modified)

Passive hepatic congestion • Hepatic congestion: changes to portal vein flow - Ganzer Fall bei Radiopaedia

Passive

hepatic congestion • Hepatic congestion: changes to portal vein flow - Ganzer Fall bei Radiopaedia

O'Donnell C, Hepatic congestion: changes to portal vein flow. Case study, Radiopaedia.org (Accessed on 09 Dec 2022) https://doi.org/10.53347/rID-32887 • CC by-nc-sa 3.0 (modified)

Nutmeg liver • Nutmeg liver - Ganzer Fall bei Radiopaedia

Nutmeg liver

• Nutmeg liver - Ganzer Fall bei Radiopaedia

Di Muzio B, Nutmeg liver. Case study, Radiopaedia.org (Accessed on 09 Dec 2022) https://doi.org/10.53347/rID-49958 • CC by-nc-sa 3.0 (modified)

Radiopaedia • CC-by-nc-sa 3.0 • de

siehe auch

Regeneratknoten der Leber
Stauungsleber
Pericarditis constrictiva
Budd-Chiari-Syndrom
Rechtsherzbelastung
Radiologische Zeichen der Rechtsherzinsuffizienz
Venenverschlusskrankheit der Leber
Muskatnussleber

Cardiac sclerosis, or "cardiac cirrhosis" is the end-point of passive hepatic congestion from heart failure.

Pathology

Etiology

Causes of cardiac cirrhosis include :

ischemic heart disease: ~30%
cardiomyopathy: ~25%
valvular heart disease: ~25%
restrictive lung disease: ~15%
pericardial disease: ~10%

Pathophysiology

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.