title: Inferior vena cava stent grafting closure of a high-flow portacaval shunt.
abstract: Portacaval (PC) shunts can be of congenital or acquired types. Acquired PC shunts are usually created in patients with end-stage liver disease to manage complications associated with portal hypertension or may be part of selected adult-adult living donor liver transplantation procedures to decrease the chance of the small-for-size syndrome. The main potential complication of these acquired high-flow PC shunts is early hepatic encephalopathy. We present a case of a high-flow acquired PC shunt after liver transplantation that was complicated by uncontrolled encephalopathy. This was treated by endovascular inferior vena cava stent grafting for shunt closure.
authors.affiliation: Division of Vascular Surgery, Department of Surgery, University Health Network, Toronto General Hospital, Toronto, Ontario, Canada.
authors.forename: Abdullah
authors.initials: A
authors.lastname: Alhaizaey
authors.affiliation: Division of General Surgery, Department of Surgery, University Health Network, Toronto General Hospital, Toronto, Ontario, Canada.
authors.forename: Anand
authors.initials: A
authors.lastname: Ghanekar
authors.affiliation: Division of Vascular Surgery, Department of Surgery, University Health Network, Toronto General Hospital, Toronto, Ontario, Canada; Division of Vascular Surgery and Division of Vascular Interventional Radiology, Departments of Surgery and Medical Imaging, University Health Network, Toronto General Hospital, Toronto, Ontario, Canada. Electronic address: george.oreopoulos@uhn.ca.
authors.forename: George
authors.initials: G
authors.lastname: Oreopoulos
mesh_terms: D006501:Hepatic Encephalopathy; D006801:Humans; D006975:Hypertension, Portal; D011167:Portacaval Shunt, Surgical; D015607:Stents; D014682:Vena Cava, Inferior / Q000601:surgery*