Document Detail

Angiography of hepatic vascular malformations associated with hereditary hemorrhagic telangiectasia.
MedLine Citation:
PMID:  12813620     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To describe the angiographic features of hepatic involvement in hereditary hemorrhagic telangiectasia (HHT), particularly the presence of portovenous shunts. METHODS: We reviewed the angiographic findings of seven patients with HHT. The patients comprised three women and four men with a mean age of 51 years. RESULTS: Intrahepatic telangiectasias were found in all seven patients and shunts between three vascular channels were found in six of seven patients. In the four patients who had portovenous shunts combined with arterioportal shunts, the portovenous shunts were large. Three patients had no portovenous shunts. Two of these patients had arteriovenous shunts, and one had no shunt. The mean age (69 years) of the patients with portovenous shunts was older than those without portovenous shunts (26 years). CONCLUSIONS: Hepatic vascular lesions in HHT are varied, ranging from telangiectasias to large shunts between three vascular channels. In an advanced stage of involvement, large portovenous shunts are present.
Manabu Hashimoto; Etuko Tate; Toshiaki Nishii; Jiro Watarai; Takanobu Shioya; Robert I White
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2003-03-06
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  26     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2003 Mar-Apr
Date Detail:
Created Date:  2003-06-18     Completed Date:  2003-12-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  177-80     Citation Subset:  IM    
Department of Radiology, Akita University School of Medicine, 1-1-1 Hondo, Akita City, Akita 010-8543, Japan.
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MeSH Terms
Arteriovenous Malformations / diagnosis*,  etiology*,  surgery
Arteriovenous Shunt, Surgical
Hepatic Artery / abnormalities*,  surgery
Hepatic Veins / abnormalities*,  surgery
Middle Aged
Portal Vein / abnormalities,  surgery
Portasystemic Shunt, Surgical
Retrospective Studies
Severity of Illness Index
Splenic Artery / abnormalities,  surgery
Telangiectasia, Hereditary Hemorrhagic / diagnosis*,  etiology*,  surgery
Treatment Outcome

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