| A novel treatment of congenital hepatoportal arteriovenous fistula. | |
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MedLine Citation:
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PMID: 18358306 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Congenital hepatoportal arteriovenous fistula is a rare cause of portal hypertension in young children. Unlike the acquired form, which is usually isolated and can be cured by hepatic artery (HA) embolization, recurrence of portal hypertension often occurs with congenital hepatoportal arteriovenous fistula after embolization and/or HA ligation because of early, rapid collateralization and the presence of multiple arterioportal fistula. Although long-term outcome after embolization is not known, liver transplantation has been proposed as the only option for this condition. However, portal vein and hepatic arterial anastomoses are made difficult because of the presence of portal vein arterialization and previous HA ligation, with a significantly increased risk of vascular complications. We report a case where resolution of portal hypertension has been achieved by an end-to-side portocaval shunt, to preserve the portal vein and HA for future liver transplantation, should it be required. |
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Authors:
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R Sutcliffe; G Mieli-Vergani; A Dhawan; M Corbally; J Karani; Nigel Heaton |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of pediatric surgery Volume: 43 ISSN: 1531-5037 ISO Abbreviation: J. Pediatr. Surg. Publication Date: 2008 Mar |
Date Detail:
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Created Date: 2008-03-24 Completed Date: 2008-05-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0052631 Medline TA: J Pediatr Surg Country: United States |
Other Details:
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Languages: eng Pagination: 571-3 Citation Subset: IM |
Affiliation:
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Liver Transplant Surgical Service, King's College Hospital, London SE5 9RS, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Angiography Arteriovenous Fistula / complications*, radiography, surgery* Child, Preschool Follow-Up Studies Hepatic Artery / abnormalities, surgery Humans Hypertension, Portal / diagnosis, etiology*, surgery Ligation / methods Liver Circulation / physiology Male Portacaval Shunt, Surgical / methods* Portal Vein / abnormalities, surgery Risk Assessment Severity of Illness Index Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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