Document Detail

Cardiac perforation and tamponade: a potentially fatal complication during transjugular intrahepatic portosystemic shunt placement.
MedLine Citation:
PMID:  17004537     Owner:  NLM     Status:  MEDLINE    
Transjugular intrahepatic portosystemic shunt (TIPS) is a low-resistance channel between the hepatic vein and the intrahepatic portion of the portal vein. This is an important addition to the therapeutic armamentarium against portal hypertension. Complications are either technical or due to the creation of a shunt. Procedure-related mortality is about 0 to 2%. Cardiac perforation, one of the rarest complications during TIPS, can occur while traversing the catheter from the jugular vein past the right atrium to enter the hepatic vein. We are reporting the case of a 50-year-old woman who became acutely hypotensive with cardiovascular compromise during the TIPS procedure. A stat echocardiogram confirmed cardiac tamponade and emergency pericardiocentesis resulted in improvement of hemodynamic status with complete recovery.
Tripura Mantha Bala; Mukta Panda
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Southern medical journal     Volume:  99     ISSN:  0038-4348     ISO Abbreviation:  South. Med. J.     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-09-28     Completed Date:  2006-10-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1000-2     Citation Subset:  AIM; IM    
Department of Medicine, University of Tennessee College of Medicine, Chattanooga Unit, 960 East Third Street, Suite 208, Chattanooga, TN 37403, USA.
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MeSH Terms
Cardiac Tamponade / etiology*,  ultrasonography
Heart Injuries / etiology*,  ultrasonography
Intraoperative Complications*
Middle Aged
Portasystemic Shunt, Transjugular Intrahepatic*

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