title: Iatrogenic atrial septal defect and aortoatrial fistula in a patient with endovascular prosthesis in the inferior vena cava.
abstract: Percutaneous procedures and endovascular prostheses are becoming increasingly frequent, replacing classic interventions, and new complications are now appearing. We report the case of a liver transplant patient with a stenosis in the anastomosis of the suprahepatic veins to inferior vena cava, treated by self-expanding prosthesis, who developed an aorto-right atrial fistula and an atrial septal defect. Open heart surgery was performed to correct the defects. Transthoracic echocardiogram 1 year later revealed no evidence of residual shunt.
authors.affiliation: Department of Cardiology and Cardiovascular Surgery, Clinica Universidad de Navarra, Pamplona, Spain. terebarriol@gmail.com
authors.forename: María Teresa
authors.initials: MT
authors.lastname: Barrio-López
authors.forename: Alejandro
authors.initials: A
authors.lastname: Martín-Trenor
authors.forename: Stefano
authors.initials: S
authors.lastname: Mastrobuoni
authors.forename: Juan José
authors.initials: JJ
authors.lastname: Gavira-Gómez
mesh_terms: D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006528:Carcinoma, Hepatocellular / Q000601:surgery; D057510:Endovascular Procedures / Q000295:instrumentation*; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006346:Heart Septum / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D006503:Hepatic Veins; D006801:Humans; D007049:Iatrogenic Disease; D008103:Liver Cirrhosis / Q000601:surgery; D008113:Liver Neoplasms / Q000601:surgery; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D015607:Stents / Q000009:adverse effects*; D014463:Ultrasonography; D014682:Vena Cava, Inferior