Document Detail


Acute transjugular intrahepatic portosystemic shunt migration into pulmonary artery during liver transplantation.
MedLine Citation:
PMID:  10385094     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Transjugular intrahepatic portosystemic shunt has become an accepted intervention to treat sequelae of end-stage liver disease such as refractory ascites and esophageal varices for patients awaiting liver transplantation. Technical difficulties in such patients at the time of transplantation are usually limited to malpositioning of the stent requiring modification of the usual vascular anastomoses. Migration of the stent intraoperatively has not been a reported complication in the literature. We report a case in which a patient with a previously placed transjugular intrahepatic portosystemic shunt underwent successful liver transplantation complicated by intraoperative migration of the stent into the left pulmonary artery. The stent was removed from the pulmonary artery postoperatively using interventional radiology techniques.
Authors:
M N Rumi; R Schumann; R B Freeman; R J Rohrer; R B Fairchild
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Transplantation     Volume:  67     ISSN:  0041-1337     ISO Abbreviation:  Transplantation     Publication Date:  1999 Jun 
Date Detail:
Created Date:  1999-07-15     Completed Date:  1999-07-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0132144     Medline TA:  Transplantation     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1492-4     Citation Subset:  IM    
Affiliation:
Department of Surgery, New England Medical Center, Tufts University School of Medicine, Boston, Massachusetts 02111, USA.
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MeSH Terms
Descriptor/Qualifier:
Foreign-Body Migration / complications*,  radiography
Humans
Intraoperative Period
Liver Transplantation / adverse effects*
Male
Middle Aged
Portasystemic Shunt, Transjugular Intrahepatic*
Postoperative Complications
Pulmonary Artery / pathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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