Case: 64-year-old female patient with pulmonary fibrosis due to systemic sclerosis (since 25 years) as well as aortic valve, mitral valve and tricuspid valve insufficiencies. Cirrhosis cardiaque with signs of congestion (pulsatile portal vein flow, retrograde flow in the hepatic veins, ascites, splenomegaly and gastric thickening, portal-hypertensive gastropathy).