| Autor: |
Salman, Ghazwani, Delarue, Arnauld, Roquelaure, Bertrand |
| Jazyk: |
angličtina |
| Rok vydání: |
2018 |
| Předmět: |
|
| Zdroj: |
Annals of Pediatric Surgery; Vol 14, No 1 (2018); 39-41 |
| ISSN: |
1687-4137 |
| Popis: |
Surgical treatment of portal hypertension in infants is challenging because of the high risk of shunt thrombosis. A 10-kg female infant underwent six failed procedures before being successfully treated by interposition of a 10-mm-diameter prosthetic graft between two 3-mm-diameter splanchnic veins and the inferior vena cava. Follow-up at 10 years demonstrates shunt patency and normal development without rebleeding. An aggressive surgical strategy is justified as long as even nonconventional techniques are available to prevent life-threatening complications of portal hypertension. Prosthetic grafts can be used when no autologous vein graft is available. Decellularized allografts with reduced immunogenicity may also be effective alternative materials.Keywords: mesocaval anastomosis, PHT, prosthetic shunt |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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