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Enlarged, Tortuous Arteries and Hepatic Bruit

1968; American Medical Association; Volume: 206; Issue: 11 Linguagem: Inglês

10.1001/jama.1968.03150110066017

1538-3598

Leonard I. Goldstein,

Renal function and acid-base balance

A patient with cirrhosis, a side-to-side portacaval shunt, and a loud abdominal murmur was observed. Investigation revealed enlarged, tortuous, hepatic arteries as the most likely source for this murmur—a hepatic arterial bruit. The generation of this bruit was considered to be secondary to the disturbance in normal laminar blood flow in the enlarged, tortuous, hepatic arteries. This case is reported to add hepatic-artery variations to the list of causes of abdominal arterial murmurs in patients with liver disease.