부산대학교 도서관

Through lowering portal hypertension, transjugular intrahepatic portosystemic stent shunt (TIPSS) can control life-threatening esophageal or gastric variceal bleeding and refractory ascites more effectively, and thereby provide a better chance of survival. Post-TIPSS complications, even in many patients with successfully functioning shunts, were reported to be mainly severe hepatic encephalopathy, acute or subacute hepatic failure, severe sepsis, and immediate technical complications such as acute occlusion, hepatobiliary perforation, and procedure-related intraabdominal bleeding. Herein, we report a 54-year-old man who was admitted to the medical intensive care unit due to life-threatening variceal hemorrhage. After he had undergone TIPSS, acute shortness of breath developed. He was found to have acute pulmonary edema possibly due to acute systemic and pulmonary hemodynamic change post-TIPSS. His dyspnea and lung condition in the chest radiograph improved after diuretics therapy. This is an uncommon complication post-TIPSS. The efficacy of diuretic therapy in in-stent stenosis and the long-term outcome remain unclear.