{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:36:13Z","timestamp":1787016973986,"version":"build-2736575974"},"reference-count":5,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,8,26]]},"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:p>A man in his 40s presented with haematemesis and melaena and was found to have a massive variceal bleed. Endoscopic procedures were ineffective at controlling the bleed; thus, an emergent transjugular intrahepatic portosystemic shunt (TIPS) procedure was performed. There were no noted complications from the procedure and the patient was eventually discharged home. A month later, a murmur was auscultated on routine physical examination. This prompted an outpatient transthoracic echocardiogram which revealed a TIPS stent in the inferior vena cava (IVC) extending into the right atrium along with a ruptured sinus of Valsalva with left to right shunt.<\/jats:p>\n                  <jats:p>The patient declined surgical intervention. He is currently being followed in the outpatient setting with serial echocardiograms and medical management.<\/jats:p>","DOI":"10.1136\/bcr-2023-256103","type":"journal-article","created":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T12:45:55Z","timestamp":1696941955000},"page":"e256103","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["TIPS stent migration causing sinus of Valsalva rupture"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-3665-800X","authenticated-orcid":false,"given":"Mohammed","family":"Siddiqui","sequence":"first","affiliation":[{"name":"Department of Medicine, Harbor-UCLA Medical Center, Torrance, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priya","family":"Pillutla","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine, Harbor-UCLA Medical Center, Torrance, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,10,10]]},"reference":[{"key":"2025082712225783000_16.10.e256103.1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.205.1.9314980"},{"key":"2025082712225783000_16.10.e256103.2","doi-asserted-by":"publisher","DOI":"10.1016\/S1051-0443(07)61745-X"},{"key":"2025082712225783000_16.10.e256103.3","doi-asserted-by":"crossref","first-page":"1000","DOI":"10.1097\/01.smj.0000233256.23569.b8","article-title":"Cardiac Perforation and Tamponade: a potentially fatal complication during Transjugular Intrahepatic Portosystemic shunt placement","volume":"99","author":"Bala","year":"2006","journal-title":"South Med J"},{"key":"2025082712225783000_16.10.e256103.4","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.103.1.161"},{"key":"2025082712225783000_16.10.e256103.5","doi-asserted-by":"crossref","first-page":"1492","DOI":"10.1097\/00007890-199906150-00020","article-title":"Acute Transjugular Intrahepatic Portosystemic shunt migration into pulmonary artery during liver transplantation","volume":"67","author":"Rumi","year":"1999","journal-title":"Transplantation"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-256103","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:23:03Z","timestamp":1756322583000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-256103"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10]]},"references-count":5,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2023,10,10]]},"published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1136\/bcr-2023-256103"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-256103","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10]]}}}