Document Detail

Reversed portal vein pulsatility on Doppler ultrasound secondary to an iatrogenic mediastinal haematoma.
MedLine Citation:
PMID:  11675317     Owner:  NLM     Status:  MEDLINE    
The Doppler ultrasound pattern of reversed pulsatile flow (RPF) of the portal vein (PV) is strongly associated with high atrial pressure. Tricuspid regurgitation is considered to be the main cause of RPF in patients with chronic heart disease, but the precise pathomechanism of this PV flow pattern has not yet been resolved. We describe for the first time a RPF of the PV in a young patient with a mediastinal haematoma after inadvertent puncture of the subclavian artery. In this patient, transcutaneous echocardiography demonstrated normal valves without any tricuspid regurgitation as well as normal diameters of the cardiac cavities. The RPF of the PV in this patient resolved spontaneously within 7 days. An increased hepatic outflow resistance with transmission of hepatic artery pulsations across arterioportal communications seems the most likely pathomechanism to explain our finding.
C Görg; B Wollenberg; J Beyer
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The British journal of radiology     Volume:  74     ISSN:  0007-1285     ISO Abbreviation:  Br J Radiol     Publication Date:  2001 Oct 
Date Detail:
Created Date:  2001-10-24     Completed Date:  2001-12-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0373125     Medline TA:  Br J Radiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  962-4     Citation Subset:  AIM; IM    
Department of Internal Medicine, Philipps University, Baldingerstrasse, 35043 Marburg, Germany.
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MeSH Terms
Anemia, Aplastic / radiography,  therapy,  ultrasonography
Bone Marrow Transplantation
Follow-Up Studies
Hematoma / complications,  radiography,  ultrasonography*
Iatrogenic Disease
Intraoperative Complications / radiography,  ultrasonography*
Mediastinal Diseases / complications,  radiography,  ultrasonography*
Pericardial Effusion / radiography,  ultrasonography
Portal Vein / physiopathology,  ultrasonography*
Pulsatile Flow
Subclavian Artery / injuries*
Tomography, X-Ray Computed
Ultrasonography, Doppler

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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