title: Intrahepatic aneurysmal portohepatic venous shunt: embolization with a tissue adhesive solution.
abstract: OBJECTIVE
  To report the endovascular treatment of an intrahepatic portosystemic venous shunt (IPSVS) using a tissue adhesive solution.
  
  
  METHODS
  A 40-year-old woman without diagnosed liver disease presented for evaluation of vague abdominal pains. A latent portosystemic encephalopathy was diagnosed only during hospitalization, when ultrasound examination disclosed a venous-venous right hepatic communication. The patient was treated with selective percutaneous embolization using a tissue adhesive after blocking the lesion's venous inflow and outflow tracts. The result was excellent, and the patient recovered completely in a few days. After 5 months, the patient is asymptomatic and event-free.
  
  
  CONCLUSIONS
  Large IPSVS may be successfully treated percutaneously using a tissue adhesive solution, avoiding a more invasive procedure.
authors.affiliation: Department of Radiological Sciences, University of Rome La Sapienza, Italy.
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Fanelli
authors.forename: Giulia
authors.initials: G
authors.lastname: Marcelli
authors.forename: Mario
authors.initials: M
authors.lastname: Bezzi
authors.forename: Filippo
authors.initials: F
authors.lastname: Maria Salvatori
authors.forename: Michele
authors.initials: M
authors.lastname: Rossi
authors.forename: Plinio
authors.initials: P
authors.lastname: Rossi
authors.forename: Roberto
authors.initials: R
authors.lastname: Passariello
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000175:diagnosis / Q000628:therapy*; D004621:Embolization, Therapeutic; D005260:Female; D006503:Hepatic Veins; D006801:Humans; D008099:Liver / Q000098:blood supply*; D011169:Portal Vein; D014014:Tissue Adhesives / Q000627:therapeutic use*; D016157:Vascular Fistula / Q000175:diagnosis / Q000628:therapy*
chemical_list: D014014:Tissue Adhesives