Atrial Septal Perforation From TIPS Stent Migration
| Autor: | Gregory T. Everson, Kellee Slater, Robert Liao, Paul H. Hayashi, Jae Mao, John D. Carroll, Lisa Forman, Janette D. Durham, Igal Kam |
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| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Liver transplantation Radiography Interventional Liver disease Foreign-Body Migration Occlusion medicine Humans Radiology Nuclear Medicine and imaging Heart Atria business.industry Stent medicine.disease Surgery Echocardiography Portal hypertension Stents Radiology Portasystemic Shunt Transjugular Intrahepatic Cardiology and Cardiovascular Medicine business Complication Transjugular intrahepatic portosystemic shunt Shunt (electrical) |
| Zdroj: | Journal of Vascular and Interventional Radiology. 15:629-632 |
| ISSN: | 1051-0443 |
| DOI: | 10.1097/01.rvi.0000130165.74003.f0 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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