| Autor: |
Marie Cappelle, MD, Thomas Douchy, MD, Dirk Vanbeckevoort, MD, PhD, Inge Fourneau, MD, PhD, Mauricio Sainz Barriga, MD, PhD, Jacques Pirenne, MD, PhD |
| Jazyk: |
angličtina |
| Rok vydání: |
2020 |
| Předmět: |
|
| Zdroj: |
Journal of Vascular Surgery Cases and Innovative Techniques, Vol 6, Iss 4, Pp 562-565 (2020) |
| Druh dokumentu: |
article |
| ISSN: |
2468-4287 |
| DOI: |
10.1016/j.jvscit.2020.08.015 |
| Popis: |
Surgical shunt therapy may be required when pharmacologic, endoscopic, and radiologic treatment of chronic splanchnic vein thrombosis have failed. In this case report, we present a new interposition shunt for the treatment of refractory rectal variceal bleeding: the inferior mesoiliacal shunt between the inferior mesenteric vein and the left common iliac vein using a cryopreserved iliac venous graft. The postoperative course was complicated by shunt thrombosis at day 2, probably owing to inadvertent interruption of anticoagulation and a decrease in the shunt flow rate. Surgical thrombectomy was performed successfully. The patient presented no relapse of rectal bleeding and was asymptomatic and well at the 12-month follow-up. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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