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{
    "pk": 7431,
    "title": "Transjugular Intrahepatic Portosystemic Shunt (TIPS) Migration to the Heart Diagnosed by Emergency Department Ultrasound",
    "subtitle": null,
    "abstract": "A 57-year-old man presented to our emergency department with altered mental status. He had a past medical history significant for cirrhosis and previous placement of a transjugular intrahepatic portosystemic shunt (TIPS). On cardiac auscultation, a new heart murmur and an unexpected degree of cardiac ectopy were noted. On the 12-lead electrocardiogram, the patient was noted to have multiple premature atrial contractions, corroborating the irregular heart rhythm on physicalexam. A focused bedside emergency ultrasound of the heart was then performed. This exam revealed an apparent foreign body in the right atrium. It appeared as if the patient’s TIPS had migrated from the heart into the right atrium. This case, as well as the literature describing thisunusual complication of TIPS placement, is reviewed in this case report. [West J Emerg Med. 2012;13(6):525-526]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution-NonCommercial  4.0",
        "short_name": "CC BY-NC 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by-nc/4.0"
    },
    "keywords": [
        {
            "word": "ultrasound, liver, TIPS,cardiac echocardiography, cardiac ectopy"
        },
        {
            "word": "Emergency Medicine"
        }
    ],
    "section": "Technology in Emergency Care",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/69d3j4q9",
    "frozenauthors": [
        {
            "first_name": "Carlan",
            "middle_name": "",
            "last_name": "Wendler",
            "name_suffix": "",
            "institution": "MD\nLos Angeles County + University of Southern California, Department of Emergency Medicine, Los Angeles, California",
            "department": "None"
        },
        {
            "first_name": "Jan",
            "middle_name": "Marie",
            "last_name": "Shoenberger",
            "name_suffix": "",
            "institution": "MD\nLos Angeles County + University of Southern California, Department of Emergency Medicine, Los Angeles, California",
            "department": "None"
        },
        {
            "first_name": "Thomas",
            "middle_name": "",
            "last_name": "Mailhot",
            "name_suffix": "",
            "institution": "MD\nLos Angeles County + University of Southern California, Department of Emergency Medicine, Los Angeles, California",
            "department": "None"
        },
        {
            "first_name": "Phillips",
            "middle_name": "",
            "last_name": "Perera",
            "name_suffix": "",
            "institution": "MD\nLos Angeles County + University of Southern California, Department of Emergency Medicine, Los Angeles, California",
            "department": "None"
        }
    ],
    "date_submitted": "2012-05-03T23:50:16-07:00",
    "date_accepted": "2012-05-03T23:50:16-07:00",
    "date_published": "2012-11-14T00:00:00-08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/7431/galley/4397/download/"
        }
    ]
}