title: Cardiac perforation due to Wallstent embolization: a fatal complication of the transjugular intrahepatic portosystemic shunt procedure.
abstract: 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.
authors.affiliation: Southwestern Institute of Forensic Sciences, University of Texas-Southwestern Medical Center, Dallas 75235, USA.
authors.forename: J A
authors.initials: JA
authors.lastname: Prahlow
authors.forename: T J
authors.initials: TJ
authors.lastname: O'Bryant
authors.forename: J J
authors.initials: JJ
authors.lastname: Barnard
mesh_terms: 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*