Transjugular intrahepatic portosystemic shunt in cavernomatous portal vein occlusion.
A 72-year-old patient with liver cirrhosis and cavernomatous portal vein occlusion presented with refractory ascites. We treated the patient with transjugular intrahepatic portosystemic shunt: transjugular transhepatic puncture of an intrahepatic hilar collateral vein was performed; transjugular intrahepatic portosystemic shunt was created between the right hepatic vein and the patent superior mesenteric vein using this hilar collateral vein as the connecting pathway. The ascites was resolved and the patient remains asymptomatic, while shunt patency is maintained 16 months after the intervention.
Brountzos
Elias N
EN
2nd Department of Radiology, Athens University, Medical School Eugenidion Hospital, Athens, Greece.
Malagari
Katerina
K
Alexopoulou
Efthymia
E
Nikolaou
Vassilios E
VE
Panagiotou
Irene
I
Argyriou
Panagiotis
P
Efstathopoulos
Efstathios
E
Kelekis
Dimitrios A
DA
D000368:Aged; D001201:Ascites / Q000150:complications / Q000821:virology; D005260:Female; D006392:Hemangioma, Cavernous / Q000150:complications*; D006503:Hepatic Veins / Q000601:surgery; D019698:Hepatitis C, Chronic / Q000150:complications; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications / Q000821:virology; D008642:Mesenteric Veins / Q000601:surgery; D011169:Portal Vein / Q000000981:diagnostic imaging; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000379:methods; D011172:Portography; D014652:Vascular Diseases / Q000209:etiology* / Q000601:surgery*