Celiac Artery Portal Vein Fistula After Transjugular Intrahepatic Portosystemic Shunt Presenting as Heart Failure

Autor: Nikhila Thammineni, Shankerdas Kundumadam, Sachin Goyal, Kunwardeep Dhillon, Pradeep Kathi
Rok vydání: 2019
Předmět:
Zdroj: ACG Case Reports Journal. 6:e00094
ISSN: 2326-3253
DOI: 10.14309/crj.0000000000000094
Popis: Transjugular intrahepatic portosystemic shunt (TIPS) is an important therapeutic tool available to decrease portal vein pressure in patients with cirrhosis and portal hypertension. TIPS is associated with various complications, and fistula formation is an important one to be noted. We present an unusual and interesting case of a patient who developed right-sided heart failure 5 months after TIPS placement. Diagnostic workup revealed an uncommon fistula between the celiac artery trunk and portal vein that was successfully treated with angiography-guided embolization, resulting in clinical improvement.
Databáze: OpenAIRE