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http://dx.doi.org/10.3348/kjr.2010.11.5.583

Congenital Intrahepatic Portosystemic Venous Shunt and Liver Mass in a Child Patient: Successful Endovascular Treatment with an Amplatzer Vascular Plug (AVP)  

Lee, Sae-Ah (Department of Radiology, Dankook University College of Medicine, Dankook University Hospital)
Lee, Young-Seok (Department of Radiology, Dankook University College of Medicine, Dankook University Hospital)
Lee, Kun-Song (Department of Pediatrics, Dankook University College of Medicine, Dankook University Hospital)
Jeon, Gyeong-Sik (Department of Radiology, Dankook University College of Medicine, Dankook University Hospital)
Publication Information
Korean Journal of Radiology / v.11, no.5, 2010 , pp. 583-586 More about this Journal
Abstract
A congenital intrahepatic portosystemic shunt is a rare anomaly; but, the number of diagnosed cases has increased with advanced imaging tools. Symptomatic portosystemic shunts, especially those that include hyperammonemia, should be treated; and various endovascular treatment methods other than surgery have been reported. Hepatic masses with either an intra- or extrahepatic shunt also have been reported, and the mass is another reason for treatment. Authors report a case of a congenital intrahepatic portosystemic shunt with a hepatic mass that was successfully treated using a percutaneous endovascular approach with vascular plugs. By the time the first short-term follow-up was conducted, the hepatic mass had disappeared.
Keywords
Portosystemic shunt, surgical; Liver neoplasm; Radiology, interventional;
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1 Singh K, Kapoor A, Kapoor A, Gupta K, Mahajan G. Congenital intrahepatic portosystemic shunt--an incidental rare anomaly. Indian J Pediatr 2006;73:1122-1123   DOI   ScienceOn
2 Stringer MD. The clinical anatomy of congenital portosystemic venous shunts. Clin Anat 2008;21:147-157   DOI   ScienceOn
3 Fanelli F, Marcelli G, Bezzi M, Maria Salvatori F, Rossi M, Rossi P, et al. Intrahepatic aneurysmal portohepatic venous shunt: embolization with a tissue adhesive solution. J Endovasc Ther 2003;10:147-153   DOI   ScienceOn
4 Uchino T, Matsuda I, Endo F. The long-term prognosis of congenital portosystemic venous shunt. J Pediatr 1999;135:254-256   DOI   ScienceOn
5 Kandpal H, Sharma R, Arora NK, Gupta SD. Congenital extrahepatic portosystemic venous shunt: imaging features. Singapore Med J 2007;48:E258-E261
6 Okada Y, Endo T, Kusano S, Yoshida M. Multiple intrahepatic portohepatic venous shunts: treatment with steel-coil embolization. AJR Am J Roentgenol 1991;157:971-973   DOI   ScienceOn
7 Lyon SM, Terhaar O, Given MF, O'Dwyer HM, McGrath FP, Lee MJ. Percutaneous embolization of transhepatic tracks for biliary intervention. Cardiovasc Intervent Radiol 2006;29:1011-1014   DOI   ScienceOn
8 Litvin S, Atar E, Knizhnik M, Bruckheimer E, Belenky A. Stent graft closure of a high flow splenorenal shunt after liver transplantation. Diagn Interv Radiol 2009 [Epub ahead of print]
9 Yankes JR, Uglietta JP, Grant J, Braun SD. Percutaneous transhepatic recanalization and thrombolysis of the superior mesenteric vein. AJR Am J Roentgenol 1988;151:289-290   DOI   ScienceOn
10 Sawyer B, Dow C, Frank J, Lau E. Congenital portocaval shuntassociated liver lesions in a patient with cancer. ANZ J Surg 2008;78:613-614   DOI   ScienceOn
11 Kessler J, Trerotola SO. Use of the Amplatzer Vascular Plug for embolization of a large retroperitoneal shunt during transjugular intrahepatic portosystemic shunt creation for gastric variceal bleeding. J Vasc Interv Radiol 2006;17:135-140   DOI   ScienceOn
12 Pattynama PM, Wils A, van der Linden E, van Dijk LC. Embolization with the Amplatzer Vascular Plug in TIPS patients. Cardiovasc Intervent Radiol 2007;30:1218-1221   DOI   ScienceOn
13 Kerlan RK Jr, Sollenberger RD, Palubinskas AJ, Raskin NH, Callen PW, Ehrenfeld WK. Portal-systemic encephalopathy due to a congenital portocaval shunt. AJR Am J Roentgenol 1982;139:1013-1015   DOI   ScienceOn
14 Crummy AB, McDermott JC, Wojtowycz M. A technique for embolization of biopsy tracts. AJR Am J Roentgenol 1989;153:67-68   DOI   ScienceOn
15 Kudo M, Tomita S, Tochio H, Minowa K, Todo A. Intrahepatic portosystemic venous shunt: diagnosis by color Doppler imaging. Am J Gastroenterol 1993;88:723-729
16 Park JH, Cha SH, Han JK, Han MC. Intrahepatic portosystemic venous shunt. AJR Am J Roentgenol 1990;155:527-528   DOI   ScienceOn
17 Ikeda S, Sera Y, Yoshida M, Izaki T, Uchino S, Endo F, et al. Successful coil embolization in an infant with congenital intrahepatic portosystemic shunts. J Pediatr Surg 1999;34:1031-1032   DOI   ScienceOn
18 Kim IO, Cheon JE, Kim WS, Chung JW, Yeon KM, Yoo SJ, et al. Congenital intrahepatic portohepatic venous shunt: treatment with coil embolisation. Pediatr Radiol 2000;30:336-338   DOI   ScienceOn
19 Chagnon SF, Vallee CA, Barge J, Chevalier LJ, Le Gal J, Blery MV. Aneurysmal portahepatic venous fistula: report of two cases. Radiology 1986;159:693-695
20 Kanamori Y, Hashizume K, Kitano Y, Sugiyama M, Motoi T, Tange T. Congenital extrahepatic portocaval shunt (Abernethy type 2), huge liver mass, and patent ductus arteriosus--a case report of its rare clinical presentation in a young girl. J Pediatr Surg 2003;38:E15
21 Yoon HK, Choo SW, Do YS, Choo IW, Han BK. Congenital intrahepatic portosystemic shunts in the neonate: coil embolization via the umbilical vein. J Vasc Interv Radiol 1998;9:509-511   DOI   ScienceOn