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A rare case of severe tricuspid regurgitation caused by TIPS stent migrating into the right atrium
Özden Seçkin Göbüt1, Serkan Ünlü1, Seçkin Özgül2
1Hospital Cardiology Department, Emniyet, Mevlana, Gazi University, Blv, Yenimahalle/Ankara, Turkey.
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.
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