Portal Steal Syndrome From a Large Linton’s Splenorenal Shunt after Liver Transplantation: Successful Endovascular Management Through Off-Label Application of a 30 mm Amplatzer Cardiac Plug

Autor: Leonardo Centonze, Ivan Vella, Francesco Morelli, Giuliana Checchini, Riccardo De Carlis, Antonio Rampoldi, Andrea Lauterio, Enzo Andorno, Luciano De Carlis
Přispěvatelé: Centonze, L, Vella, I, Morelli, F, Checchini, G, De Carlis, R, Rampoldi, A, Lauterio, A, Andorno, E, De Carlis, L
Rok vydání: 2022
Předmět:
Zdroj: Vascular and Endovascular Surgery. 56:308-311
ISSN: 1938-9116
1538-5744
DOI: 10.1177/15385744211068614
Popis: A 34-year-old patient underwent liver transplantation for progressive hepatic failure in the setting of congenital hepatic fibrosis. In past medical history, the patient had undergone splenectomy with proximal Linton’s splenorenal surgical shunt creation for symptomatic portal hypertension with hypersplenism. The patient developed an early allograft dysfunction, with radiologic evidence of a reduced portal flow associated to portal steal from the patent surgical shunt. The patient was successfully treated through endovascular placement of a 30 mm Amplatzer cardiac plug at the origin of the splenic vein.
Databáze: OpenAIRE