title: Pulmonary hypertension after transjugular intrahepatic portosystemic shunt (TIPS).
abstract: We reported the case of a patient in whom severe, and ultimately fatal, pulmonary hypertension developed 1.5 yrs after transjugular intrahepatic portosystemic shunt (TIPS). Pulmonary artery pressures were not affected by 100% oxygen, prostacyclin or nifedipine. Postmortem examinations showed pulmonary and vascular abnormalities typical of pulmonary hypertension. Pulmonary artery pressures should be measured in each patient with otherwise not readily explained dyspnoea following transjugular intrahepatic portosystemic shunt.
authors.affiliation: Dept of Pulmonary Diseases, University Hospital Rotterdam, The Netherlands.
authors.forename: R M
authors.initials: RM
authors.lastname: van der Heijde
authors.forename: J S
authors.initials: JS
authors.lastname: Laméris
authors.forename: B
authors.initials: B
authors.lastname: van den Berg
authors.forename: C A
authors.initials: CA
authors.lastname: Wagenvoort
authors.forename: C
authors.initials: C
authors.lastname: Hilvering
authors.forename: H R
authors.initials: HR
authors.lastname: van Buuren
mesh_terms: D017809:Fatal Outcome; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000009:adverse effects*; D011651:Pulmonary Artery / Q000473:pathology; D013997:Time Factors