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Intrahepatic Portosystemic Venous Shunt: Successful Embolization Using the Amplatzer Vascular Plug II

  • Lee, Young-Ju (Department of Radiology, Chungnam National University Hospital, Chungnam National University College of Medicine) ;
  • Shin, Byung Seok (Department of Radiology, Chungnam National University Hospital, Chungnam National University College of Medicine) ;
  • Lee, In Ho (Department of Radiology, Chungnam National University Hospital, Chungnam National University College of Medicine) ;
  • Ohm, Joon Young (Department of Radiology, Chungnam National University Hospital, Chungnam National University College of Medicine) ;
  • Lee, Byung-Seok (Department of Internal Medicine Chungnam National University Hospital, Chungnam National University College of Medicine) ;
  • Ahn, Moonsang (Department of Surgery, Chungnam National University Hospital, Chungnam National University College of Medicine) ;
  • Kim, Ho Jun (Department of Radiology, Konyang University Hospital, Konyang University College of Medicine)
  • Published : 2012.12.01

Abstract

A 67-year-old woman presented with memory impairment and behavioral changes. Brain MRI indicated hepatic encephalopathy. Abdominal CT scans revealed an intrahepatic portosystemic venous shunt that consisted of two shunt tracts to the aneurysmal sac that communicated directly with the right hepatic vein. The large tract was successfully occluded by embolization using the newly available AMPLATZERTM Vascular Plug II and the small tract was occluded by using coils. The patient's symptoms disappeared after shunt closure and she remained free of recurrence at the 3-month follow-up evaluation.

Keywords

References

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