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September 1970

Abdominal Vena Caval Pressure and Portal Hypertension

Author Affiliations

Bronx, NY
From the Department of Surgery, Montefiore Hospital and Medical Center and the Albert Einstein College of Medicine (Drs. Gliedman and Mullane), Bronx, NY; and the Department of Surgery, State University of New York, Downstate Medical Center (Dr. Mullane), Brooklyn.

Arch Surg. 1970;101(3):363-365. doi:10.1001/archsurg.1970.01340270011003

Eighty-three patients with portal hypertension have been evaluated for the incidence of abdominal inferior vena caval hypertension and the occurrence of a decreased glomerular filtration rate. Portal hypertension was usually accompanied by caval hypertension since both reflect an advanced stage of liver disease. The portal hypertension was always greater than the caval hypertension and some portal decompression will be achieved by a portacaval shunt. The caval hypertension was associated with both abnormal glomerular filtration rate and death from renal failure in these patients with portal hypertension. The caval hypertension, alone, and in combination with other humoral and hemodynamic changes, appears to contribute to abnormal renal function in cirrhosis.