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Updated: Aug 7, 2026

Implantation of the Syncardia Total Artificial Heart
Published on: July 18, 2014
[Cardiac perforation and tamponade during TIPS placement]
K Asehnoune1, D Azoulay, P Andreani
1Département d'Anesthésie-Réanimation et Unité Propre de Recherche de l'Enseignement Supérieur, Equipe d'Accueil (UPRES-EA 3540), Hôpital de Bicêtre, 94275 Le Kremlin-Bicêtre, France. asehnounekarim@hotmail.com
Abstract:
A patient developed an acute severe haemodynamic compromise immediately after a transjugular intrahepatic portosystemic shunt (TIPS) procedure for intractable ascites. Rapid clinical and echographic evaluation disclosed pericardial blood and cardiac tamponade, probably due to right heart perforation from guidewire and catheter manipulation. Needle drainage of pericardial fluid restored the haemodynamic status. A right ventricular perforation was then successfully treated (sternotomy and closure of right ventricle perforation) and the patient survived. Cardiac tamponade should be considered in the differential diagnosis of patients who develop hypotension and haemodynamic impairment during or immediately after TIPS placement.
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