A rare case of severe tricuspid regurgitation caused by TIPS stent migrating into the right atrium

SEÇKİN GÖBÜT Ö., ÜNLÜ S., ÖZGÜL S., Moral K.

Echocardiography, cilt.41, sa.1, 2024 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 41 Sayı: 1
  • Basım Tarihi: 2024
  • Doi Numarası: 10.1111/echo.15730
  • Dergi Adı: Echocardiography
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, Biotechnology Research Abstracts, CINAHL, EMBASE, MEDLINE
  • Anahtar Kelimeler: intracardiac stent migration, shunt, TIPS, transjugular intrahepatic portosystemic, tricuspid regurgitation
  • Gazi Üniversitesi Adresli: Evet

Özet

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. Case presentation: 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. Discussion: In this case, it is noteworthy that secondary stenting, which is necessary especially in cases of occlusion, significantly increases the risk of migration. Conclusion: 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.