Cardiac perforation due to Wallstent embolization: a fatal complication of the transjugular intrahepatic portosystemic shunt procedure.
The transjugular intrahepatic portosystemic shunt procedure is an effective intervention for patients with bleeding esophageal varices. Potential complications are numerous but rarely serious. A case of hemopericardium, cardiac tamponade, and death caused by perforation of the right atrium and aorta by a stent after embolization from the liver during stent placement is reported.
Prahlow
J A
JA
Southwestern Institute of Forensic Sciences, University of Texas-Southwestern Medical Center, Dallas 75235, USA.
O'Bryant
T J
TJ
Barnard
J J
JJ
D000328:Adult; D017809:Fatal Outcome; D006325:Heart Atria / Q000293:injuries; D006335:Heart Injuries / Q000209:etiology*; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000009:adverse effects*; D015641:Radiography, Interventional; D015607:Stents / Q000009:adverse effects*; D014950:Wounds, Penetrating / Q000209:etiology*