Successful embolization using interlocking detachable coils for a congenital extrahepatic portosystemic venous shunt in a child.
The authors report the case of a 6-year-old boy with a congenital extrahepatic portosystemic venous shunt. He had hyperammonemia. The shunt was 18 mm in diameter and located between the inferior mesenteric vein and the left internal iliac vein. The flow in the shunt was very rapid. After decreasing blood flow by inflating a balloon catheter inserted into the left internal iliac vein from the femoral vein, a microcatheter was coaxially advanced to the shunt to embolize the shunt. Embolization was successfully performed with interlocking detachable coils and microcoils without any complication. This patient's hyperammonemia resolved soon after the procedure.
Yamagami
Takuji
T
Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kamigyo, Kyoto 602-8566, Japan. yamagami@koto.kpu-m.ac.jp
Yoshimatsu
Rika
R
Matsumoto
Tomohiro
T
Terayama
Koshi
K
Nishiumra
Akira
A
Maeda
Yousuke
Y
Nishimura
Tsunehiko
T
D002648:Child; D004621:Embolization, Therapeutic / Q000295:instrumentation* / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D007084:Iliac Vein / Q000002:abnormalities; D007715:Klippel-Trenaunay-Weber Syndrome / Q000150:complications / Q000175:diagnosis*; D008297:Male; D008642:Mesenteric Veins / Q000002:abnormalities; D011168:Portal System / Q000002:abnormalities*; D018570:Risk Assessment; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000151:congenital* / Q000175:diagnosis / Q000628:therapy*