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1,538 results
  • Proximal Splenorenal Shunt in a Rare Renal Vein Anomaly: A Case Report. [Case Reports]
    Cureus 2019; 11(5):e4754Biju P, Midha K, … Gnanasekaran S
  • Left renal vein (LRV) has been considered as the most suitable vein for proximal splenorenal shunt (PSRS), a commonly performed shunt for non-cirrhotic portal hypertension. Anatomical anomalies in LRV that can pose technical difficulty during shunt procedure are reported in 10% cases. We report a rare anomaly of LRV which precluded performance of standard end-to-side proximal splenorenal shunt an…
  • Revision of meso-Rex bypass utilizing a collateral vein in a patient with portal steal phenomenon after liver transplant: A case report. [Journal Article]
    Int J Surg Case Rep 2019; 60:230-233Blachman-Braun R, Lopez-Verdugo F, … Rodriguez-Davalos MI
  • CONCLUSIONS: Failed of MRB can be attributed to portal steal phenomenon, hypercoagulable disorders, bypass contraction or kinking. In this case we believe the culprit to be the former. When there is a history of longstanding portal hypertension, large collaterals develop; thus, intraoperative portal vein flow measurement is critical and ligation of large collaterals during liver transplantation and MRB should be performed to avoid portal steal phenomenon postprocedure.Using a collateral vein as an alternative autologous venous conduit is a feasible option that can have durable success.
  • Acute hyperammonemic encephalopathy due to a portosystemic shunt in a non-cirrhotic adult patient. [Journal Article]
    J Crit Care 2019; 53:59-61Fuster-Cabré M, Ezquerro-Sáenz S, … Lapetra-Labé AM
  • CONCLUSIONS: Hyperammonemia is not always related to liver failure in critically ill patients, but should be considered in all unknown origins of an altered mental status. A portosystemic shunt can be the responsible for this phenomenon, and it has a newly treatment technique named plug-assisted retrograde transvenous obliteration (PARTO), which can be quickly performed with high technical success rate and clinical efficacy for the treatment of the splenorenal and/or gastrorenal shunt.
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