|
|||||
|
|
Cardiac perforation and tamponade during TIPS placement |
|
| Authors: | Asehnoune K Azoulay D Andreani P Gillon M-C Naili S Minville V Benhamou D |
| Institution: | 1. Vascular Biology Laboratory, AU-KBC Research Centre, Anna University, MIT Campus, Chromepet, Chennai 600 044, India;2. Chemical Biology and Nanobiotechnology Laboratory, AU-KBC Research Centre, Anna University, MIT Campus, Chromepet, Chennai 600 044, India;3. Department of Biotechnology, School of Bioengineering, SRM University, Kattankulathur, Tamil Nadu, India;4. Helicobacter Research Laboratory, Department of Medical Microbiology, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia;5. Thiruvalluvar University (State University), Serkkadu, Vellore 632 115, Tamil Nadu, India |
| Abstract: | A patient developed an acute severe haemodynamic compromise immediately after a transjugular intrahepatic portosystemic shunt (TIPS) procedure for intractable ascites. Rapid clinical and echographic evaluation disclosed pericardial blood and cardiac tamponade, probably due to right heart perforation from guidewire and catheter manipulation. Needle drainage of pericardial fluid restored the haemodynamic status. A right ventricular perforation was then successfully treated (sternotomy and closure of right ventricle perforation) and the patient survived. Cardiac tamponade should be considered in the differential diagnosis of patients who develop hypotension and haemodynamic impairment during or immediately after TIPS placement. |
| Keywords: | |
| 本文献已被 ScienceDirect PubMed 等数据库收录！ | |