Stent graft closure of a high flow splenorenal shunt after liver transplantation.
We describe a patient after liver transplantation with a preexisting surgical splenorenal shunt close to the confluence of the splenic and superior mesenteric veins and a wide, short communication between the splenic and renal veins. To close the shunt, an inferior vena cava filter was inserted in the shunt and a vascular plug was placed in the splenic vein inside the filter. When this failed to stop the flow through the shunt, a covered stent was deployed at the superior mesenteric vein-portal vein junction.
Vascular and Interventional Radiology, Rabin Medical Center Petah Tikva, Israel. litvin_s@yahoo.com
Sergey
S
Litvin
Eli
E
Atar
Michael
M
Knizhnik
Elchanan
E
Bruckheimer
Alexander
A
Belenky
D000328:Adult; D003287:Contrast Media; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016031:Liver Transplantation; D011856:Radiographic Image Enhancement; D012082:Renal Veins / Q000000981:diagnostic imaging / Q000601:surgery; D013162:Splenic Vein / Q000000981:diagnostic imaging / Q000601:surgery; D013163:Splenomegaly / Q000000981:diagnostic imaging; D013164:Splenorenal Shunt, Surgical; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D016306:Vena Cava Filters
D003287:Contrast Media