Transjugular intrahepatic portosystemic shunt in a child with Budd-Chiari syndrome: technical modification and extended followup.
An 8-year-old girl with Budd-Chiari syndrome presented with upper gastrointestinal hemorrhage and ascites. TIPS to decompress the portal hypertension was performed by puncturing the portal vein directly from the inferior vena cava. The shunt remains patent after 3 years without requiring secondary intervention.
Carnevale
Francisco Cesar
FC
Department of Radiology, Instituto da Criança Prof. Pedro de Alcântara, University of Sao Paulo, Av. Dr. Enéas Carvalho de Aguiar, 647, São Paulo 05403-900, Brazil. fcarnevale@uol.com.br
Caldas
Jose Guilherme M P
JG
Maksoud
João Gilberto
JG
D006502:Budd-Chiari Syndrome / Q000628:therapy*; D002648:Child; D005260:Female; D006801:Humans; D006975:Hypertension, Portal / Q000628:therapy*; D011169:Portal Vein / Q000000981:diagnostic imaging* / Q000601:surgery*; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D011172:Portography; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging* / Q000601:surgery*