Atrial embolism caused by portal vein embolization: Treatment by percutaneous withdrawal and stenting.
Hepatectomy remains the only curative treatment for many primary and secondary liver cancers. Portal vein embolization (PVE) has been used to increase the volume of the future liver remnant and thus lower the risk of small-for-size syndrome and postoperative liver failure. This technique has proven its safety, with a low post-procedure morbidity rate. Here, we describe a very rare case in which a young patient suffered a glue embolism to the right atrial cavity following PVE in preparation for a major hepatectomy for colorectal metastasis. The foreign body was withdrawn from the heart with a femoral, percutaneous device and trapped against the wall of the femoral vein with a self-expanding metal stent. Our report shows that this previously unknown complication of PVE can be resolved without recourse to sternotomy and open heart surgery.
Ahmed Fouad Bouras, Stéphanie Truant, Guido Liddo, Philippe Zerbib, François-René Pruvot, Emmanuel Boleslawski, Service de Chirurgie Digestive et Transplantation, CHU, Univ Nord de France, F-59000 Lille, France.
Ahmed Fouad
AF
Bouras
Stéphanie
S
Truant
Jean-Paul
JP
Beregi
Geraldine
G
Sergent
Olivier
O
Delemazure
Guido
G
Liddo
Gilles
G
Lebuffe
Philippe
P
Zerbib
François-René
FR
Pruvot
Emmanuel
E
Boleslawski
Complications; Embolization; Glue; Liver metastasis; Percutaneous endovascular intervention; Portal vein; Stenting