Liver & intrahepatic bile ducts
Systemic conditions
Congestive heart failure


Topic Completed: 1 May 2012

Minor changes: 22 September 2020

Copyright: 2002-2020, PathologyOutlines.com, Inc.

PubMed Search: Congestive heart failure[TI] liver[TI]


Komal Arora, M.D.
Page views in 2019: 1,986
Page views in 2020 to date: 1,413
Cite this page: Arora K. Congestive heart failure. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/liverCHF.html. Accessed September 29th, 2020.
Definition / general
  • Also called cardiac sclerosis
  • Mild elevation of serum ALT and AST, mild jaundice
  • Rarely progresses to fully developed cirrhosis
Microscopic (histologic) description
  • Centrilobular congestion and necrosis, central stellate fibrosis
  • Sinusoidal dilation which can compress liver cell plates, hemosiderin and lipochrome laden macrophages
  • May have cholestasis at edge of fibrotic zone, PAS+ globules in ischemic central zones
  • Portal tracts spared until late
Back to top
Image 01 Image 02