TO CLOSE OR NOT TO CLOSE: PATENT FORAMEN OVALE IN A PATIENT UNDERGOING TIPS PROCEDURE

Transjugular Intrahepatic Portosystemic shunt(TIPS) creation is a maneuver used in decompression of portal circulation. Post TIPS, there is increased flow to RA/RV with an increase in right sided pressure and a potential for increasing right to left shunt. This can predispose patients to cryptogenic