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 |
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Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
Cirrhosis business.industry medicine.medical_treatment Fistula Case Report General Medicine medicine.disease Trunk Surgery 03 medical and health sciences 0302 clinical medicine Celiac artery 030220 oncology & carcinogenesis medicine.artery Heart failure medicine Portal hypertension 030211 gastroenterology & hepatology Embolization business Transjugular intrahepatic portosystemic shunt |
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 |
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