title: Percutaneous transluminal angioplasty of an occluded distal splenorenal shunt.
abstract: A distal splenorenal (Warren) shunt was performed on a 39-year-old female with bleeding esophageal varices secondary to portal hypertension and cirrhosis. On the twelfth postoperative day, however, she rebled, and angiography revealed that the shunt was occluded. Using a percutaneous approach, successful balloon angioplasty and recanalization was performed. The patient did well and was discharged without further bleeding. Percutaneous transluminal angioplasty (PTA) appears to be effective in dilating occluded splenorenal shunts, obviating a second surgical procedure in high-risk patients.
authors.affiliation: Department of Surgery, Hahnemann University Hospital, Philadelphia, PA 19102.
authors.forename: J
authors.initials: J
authors.lastname: Sariego
authors.forename: A
authors.initials: A
authors.lastname: Wilson
authors.forename: T
authors.initials: T
authors.lastname: Aoyama
authors.forename: C
authors.initials: C
authors.lastname: Sano
authors.forename: M
authors.initials: M
authors.lastname: Kerstein
authors.forename: T
authors.initials: T
authors.lastname: Matsumoto
mesh_terms: D000328:Adult; D000800:Angioplasty, Balloon; D001157:Arterial Occlusive Diseases / Q000209:etiology; D004932:Esophageal and Gastric Varices / Q000601:surgery; D005260:Female; D006396:Hematemesis / Q000150:complications / Q000601:surgery; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology; D013164:Splenorenal Shunt, Surgical / Q000009:adverse effects*