Congestive Hepatopathy (Passive Hepatic Congestion) By Whitney Jackson, MD, University of Colorado School of Medicine Reviewed / Revised Jan 2022 | Modified Sep 2022 View Patient Education Symptoms and Signs Diagnosis Treatment Congestive hepatopathy is diffuse venous congestion within the liver that results from right-sided heart failure (usually due to a cardiomyopathy, tricuspid regurgitation, mitral insufficiency, cor pulmonale, or constrictive pericarditis).