背景:经颈静脉肝内门体分流术(TIPS)是一种常见的,门脉高压症的有效和可靠的治疗方法。TIPS支架移入右心房是一种罕见且致命的并发症。
方法:我们报告一例因肝硬化顽固性腹水住院的患者,由于支架移入右心房而导致严重三尖瓣反流。
结论:在这种情况下,值得注意的是,二次支架术,这是必要的,特别是在闭塞的情况下,大大增加了移民的风险。
结论:虽然是一种罕见的并发症,有TIPS病史的患者在出现新的心脏杂音和心律失常征象时,应考虑心内支架移位.
BACKGROUND: Transjugular intrahepatic portosystemic shunt (TIPS) is a common, effective and reliable treatment modality for portal hypertension. Migration of the TIPS stent into the right atrium is a rare and fatal complication.
METHODS: We report a case of severe tricuspid regurgitation caused by a stent migrating into the right atrium in a patient hospitalized with refractory ascites due to cirrhosis.
CONCLUSIONS: In this case, it is noteworthy that secondary stenting, which is necessary especially in cases of occlusion, significantly increases the risk of migration.
CONCLUSIONS: Although a rare complication, intracardiac stent migration should be considered in patients with a history of TIPS in the presence of a new heart murmur and signs of arrhythmia.