Annals of Pediatric Cardiology (Jan 2023)

Successful surgical management of cardiac tamponade following direct intrahepatic portosystemic shunt in a child with Budd–Chiari syndrome: A potentially life-threatening situation

  • Anand Kumar Mishra,
  • Meenakshi Mandal,
  • Irshad R Mohamed,
  • Sadhna Lal,
  • Harish Bhujade

DOI
https://doi.org/10.4103/apc.apc_107_23
Journal volume & issue
Vol. 16, no. 5
pp. 370 – 373

Abstract

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Direct intrahepatic portosystemic shunt is a technique of portocaval shunting performed through the percutaneous route in patients with Budd–Chiari syndrome. Stent migration into right-sided heart chambers or perforations causing hemopericardium and cardiac tamponade is rare and underreported. In a child with a coexisting decompensated liver disease, surgical intervention and cardiopulmonary bypass can be challenging. However, surgical management in these life-threatening situations is better than redo interventions.

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