Atrial septal perforation from TIPS stent migration |
| |
| Authors: | Hayashi Paul H Mao Jae Slater Kellee Liao Robert Durham Janette D Carroll John Everson Gregory T Kam Igal Forman Lisa M |
| |
| Affiliation: | Division of Gastroenterology, Department of Transplant Surgery, University of Colorado Health Sciences Center, Denver, Colorado, USA. hayaship@slu.edu |
| |
| Abstract: | Transjugular intrahepatic portosystemic shunts (TIPS) are safe and effective for the treatment of portal hypertension. Cardiac complications are unusual. This study reports a case of TIPS stent migration to the right atrium causing perforation of the atrial septum in a patient with end-stage liver disease. The shunt was removed transvenously but attempts at transvenous occlusion of the septal perforation were unsuccessful. The patient went on to undergo combined open-heart surgery with septum repair and liver transplantation. The case highlights a rare complication of TIPS and methods for treatment including transvenous removal, transvenous repair, and combined cardiotomy-liver transplantation surgery. |
| |
| Keywords: | |
| 本文献已被 PubMed 等数据库收录！ |
|
