Journal article
Atrial laceration caused by removal of a transjugular intrahepatic portosystemic shunt necessitates emergent cardiopulmonary bypass during liver transplant: a case report
Transplantation proceedings, Vol.43(7), pp.2810-2813
09/01/2011
DOI: 10.1016/j.transproceed.2011.03.093
PMID: 21911169
Abstract
In situ transjugular intrahepatic portosystemic shunting (TIPS) can complicate liver transplantation. We present a case where an intraoperative attempt to remove a malpositioned TIPS resulted in atrial laceration. Massive transfusion and emergent institution of cardiopulmonary bypass allowed patient resuscitation and completion of surgery. We describe our surgical and anesthesiologic management, and discuss the absence of criteria to predict when TIPS may become adherent to the inferior vena cava or the right atrium and difficult to remove.
Details
- Title: Subtitle
- Atrial laceration caused by removal of a transjugular intrahepatic portosystemic shunt necessitates emergent cardiopulmonary bypass during liver transplant: a case report
- Creators
- D Tivener - Washington University in St. LouisA Vannucci - Washington University in St. LouisR E Fagley - Washington University in St. LouisM DoyleS Shenoy - Washington University in St. LouisW Chapman - Washington University in St. LouisI Kangrga - Washington University in St. Louis
- Resource Type
- Journal article
- Publication Details
- Transplantation proceedings, Vol.43(7), pp.2810-2813
- DOI
- 10.1016/j.transproceed.2011.03.093
- PMID
- 21911169
- ISSN
- 0041-1345
- eISSN
- 1873-2623
- Language
- English
- Date published
- 09/01/2011
- Academic Unit
- Anesthesia
- Record Identifier
- 9984656541902771
Metrics
13 Record Views