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Acute pulmonary hypertension after transjugular intrahepatic portosystemic shunt: a potentially deadly but commonly

Jacqueline Modock1

  • 1Jacqueline Modock, BSN, RN, is Adult Gerontology Acute Care Nurse Practitioner, Lake Tahoe Regional Hospitalist, Carson City, Nevada.

Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates
|January 31, 2014
PubMed

Insights

Transjugular intrahepatic portosystemic shunt (TIPS) can cause acute pulmonary hypertension in patients with Hepatitis C virus (HCV) cirrhosis. This case report highlights this often-missed complication, discussing its incidence, diagnosis, and treatment.

Area of Science:

  • Hepatology
  • Cardiology
  • Transplantation

Background:

  • Hepatitis C virus (HCV) is a leading cause of chronic liver disease and liver transplantation in the US.
  • Complications of chronic liver disease necessitate management strategies like transjugular intrahepatic portosystemic shunt (TIPS) procedures.
  • The increasing prevalence of HCV cirrhosis leads to a rise in TIPS procedures.

Purpose of the Study:

  • To report a case of acute pulmonary hypertension following a TIPS procedure in a patient with HCV cirrhosis.
  • To raise awareness of this potentially serious but often overlooked complication of TIPS.
  • To discuss the incidence, diagnosis, and treatment of TIPS-induced pulmonary hypertension.

Main Methods:

  • Case report presentation of a 52-year-old male with HCV cirrhosis.
  • Review of the clinical presentation, diagnosis, and management of acute pulmonary hypertension post-TIPS.
  • Discussion of existing literature on TIPS-related complications.

Main Results:

  • The patient developed acute pulmonary hypertension after undergoing a TIPS procedure.
  • This case underscores the importance of recognizing and managing this adverse event.
  • The report details the diagnostic pathway and therapeutic interventions for this complication.

Conclusions:

  • Acute pulmonary hypertension is a significant complication of TIPS in patients with HCV cirrhosis.
  • Early diagnosis and appropriate management are crucial for patient outcomes.
  • Further research into the incidence and optimal treatment strategies for this complication is warranted.

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