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Transjugular intrahepatic portosystemic shunt in cavernomatous portal vein occlusion. 2004
Elias N Brountzos, and
Katerina Malagari, and
Efthymia Alexopoulou, and
Vassilios E Nikolaou, and
Irene Panagiotou, and
Panagiotis Argyriou, and
Efstathios Efstathopoulos, and
Dimitrios A Kelekis
2nd Department of Radiology, Athens University, Medical School Eugenidion Hospital, Athens, Greece.
A 72-year-old patient with liver cirrhosis and cavernomatous portal vein occlusion presented with refractory ascites. We treated the patient with transjugular intrahepatic portosystemic shunt: transjugular transhepatic puncture of an intrahepatic hilar collateral vein was performed; transjugular intrahepatic portosystemic shunt was created between the right hepatic vein and the patent superior mesenteric vein using this hilar collateral vein as the connecting pathway. The ascites was resolved and the patient remains asymptomatic, while shunt patency is maintained 16 months after the intervention.
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