Acute liver failure after a late TIPSS revision

Cardiovasc Intervent Radiol. 2008 Jan-Feb;31(1):209-14. doi: 10.1007/s00270-007-9215-2. Epub 2007 Oct 24.

Abstract

We report a rare case of late transjugular intrahepatic portosystemic stent shunt (TIPSS) occlusion due to progressive stent protrusion into the periportal liver parenchyma, which was a result of delayed liver shrinkage 2 years after TIPSS. The initial TIPSS procedure had been carried out in a 52-year-old man as a bridge for liver transplantation because of post-alcoholic liver cirrhosis. We describe the applied TIPSS recanalization and revision technique. Immediately after TIPSS revision acute liver failure developed, which required emergency liver transplantation.

Publication types

  • Case Reports

MeSH terms

  • Bilirubin / blood
  • Emergency Treatment / methods
  • Fatal Outcome
  • Humans
  • Hyperbilirubinemia / complications
  • Hyperbilirubinemia / diagnosis
  • Liver / diagnostic imaging
  • Liver / injuries
  • Liver / surgery
  • Liver Cirrhosis, Alcoholic / surgery
  • Liver Failure, Acute / diagnosis
  • Liver Failure, Acute / etiology*
  • Liver Failure, Acute / surgery
  • Liver Transplantation / adverse effects
  • Liver Transplantation / methods
  • Male
  • Mesenteric Artery, Superior / diagnostic imaging
  • Middle Aged
  • Organ Size
  • Portal Vein / diagnostic imaging
  • Portasystemic Shunt, Transjugular Intrahepatic / adverse effects*
  • Portography
  • Postoperative Complications / diagnosis
  • Postoperative Complications / etiology*
  • Postoperative Complications / surgery
  • Prosthesis Failure
  • Pulmonary Embolism / etiology
  • Reoperation
  • Thrombosis / complications
  • Thrombosis / diagnosis
  • Time
  • Transaminases / blood
  • Ultrasonography

Substances

  • Transaminases
  • Bilirubin