Document Detail

A novel treatment of congenital hepatoportal arteriovenous fistula.
MedLine Citation:
PMID:  18358306     Owner:  NLM     Status:  MEDLINE    
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.
R Sutcliffe; G Mieli-Vergani; A Dhawan; M Corbally; J Karani; Nigel Heaton
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  43     ISSN:  1531-5037     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-03-24     Completed Date:  2008-05-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  571-3     Citation Subset:  IM    
Liver Transplant Surgical Service, King's College Hospital, London SE5 9RS, UK.
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MeSH Terms
Arteriovenous Fistula / complications*,  radiography,  surgery*
Child, Preschool
Follow-Up Studies
Hepatic Artery / abnormalities,  surgery
Hypertension, Portal / diagnosis,  etiology*,  surgery
Ligation / methods
Liver Circulation / physiology
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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