Case Report

CardioVascular and Interventional Radiology

, Volume 31, Issue 2, pp 188-191

TIPSS Procedure in the Treatment of a Single Patient After Recent Heart Transplantation Because of Refractory Ascites Due to Cardiac Cirrhosis

  • Mario FavaAffiliated withRadiology Department, Hospital Clínico Universidad Católica de Chile
  • , Luis MenesesAffiliated withRadiology Department, Hospital Clínico Universidad Católica de Chile Email author 
  • , Soledad LoyolaAffiliated withRadiology Department, Hospital Clínico Universidad Católica de Chile
  • , Pablo CastroAffiliated withCardiology Department, Hospital Clínico Universidad Católica de Chile
  • , Fernando BarahonaAffiliated withCardiology Department, Hospital Clínico Universidad Católica de Chile

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Abstract

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.

Keywords

Hepatic cirrhosis TIPSS Ascites