Atrial laceration caused by removal of a transjugular intrahepatic portosystemic shunt necessitates emergent cardiopulmonary bypass during liver transplant: A case report

D. Tivener, A. Vannucci, R. E. Fagley, M. Doyle, S. Shenoy, W. Chapman, I. Kangrga

Research output: Contribution to journalArticle

3 Scopus citations

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.

Original languageEnglish
Pages (from-to)2810-2813
Number of pages4
JournalTransplantation Proceedings
Volume43
Issue number7
DOIs
StatePublished - Sep 1 2011

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