TIPSS procedure in the treatment of a single patient after recent heart transplantation because of refractory ascites due to cardiac cirrhosis.
We present the case of a female patient with arrhythmogenic dysplasia of the right ventricle who evolved to refractory heart failure, ascites, and peripheral edema. As a result, heart transplantation was performed. Subsequently, refractory ascites impaired the patient's respiratory function, resulting in prolonged mechanical ventilation. She was successfully treated with transjugular intrahepatic portosystemic shunt (TIPSS) placement, which allowed satisfactory weaning of ventilatory support.
Fava
Mario
M
Radiology Department, Hospital Clínico Universidad Católica de Chile, Marcoleta 367, Santiago, Chile.
Meneses
Luis
L
Loyola
Soledad
S
Castro
Pablo
P
Barahona
Fernando
F
D000328:Adult; D019571:Arrhythmogenic Right Ventricular Dysplasia / Q000000981:diagnostic imaging / Q000601:surgery; D001201:Ascites / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D004452:Echocardiography; D005260:Female; D016027:Heart Transplantation / Q000009:adverse effects*; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*; D019168:Portasystemic Shunt, Transjugular Intrahepatic