Intrahepatic portal-venous shunts during PVE

Autor: Driss Raissi, Sreeja Sanampudi
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Radiology Case Reports
Radiology Case Reports, Vol 13, Iss 5, Pp 975-981 (2018)
ISSN: 1930-0433
Popis: Portal venous embolization (PVE) is a well-validated technique to promote contralateral liver lobe hypertrophy prior to hepatic resection. We present a case of a patient with Type IV cholangiocarcinoma undergoing PVE prior to hepatic surgical resection. However, intrahepatic portal-venous shunts were incidentally found during the procedure and were subsequently embolized using embolic coils and N-butyl cyanoacrylate. While most patients with congenital portal-venous shunts remain asymptomatic, an unrecognized shunt during PVE could have resulted in a devastating complication secondary to nontarget embolization through the fistula.To our knowledge, this is the first reported case of a portal-venous shunt being discovered during a PVE. Keywords: Portal venous embolization (PVE), Cholangiocarcinoma, N-butyl cyanoacrylate, Portal-venous shunt
Databáze: OpenAIRE