1.RE: Endovascular Treatment of Congenital Intrahepatic Portosystemic Shunts with Amplatzer Plugs.
Sergio SIERRE ; Jose ALONSO ; Jose LIPSICH
Korean Journal of Radiology 2012;13(1):115-115
No abstract available.
Hepatic Encephalopathy/*congenital
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Humans
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Liver Neoplasms/*congenital
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Male
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Portal Vein/*abnormalities
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*Septal Occluder Device
2.Hepatic encephalomyelopathy in a calf with congenital portosystemic shunt (CPSS).
Valeria Cafe MARCAL ; Anna OEVERMANN ; Tim BLEY ; Patrizia PFISTER ; Julien MICLARD
Journal of Veterinary Science 2008;9(1):113-115
A 4-month-old female Holstein Friesian calf was referred to the Veterinary Teaching Hospital, University of Berne, Switzerland for evaluation of ataxia, weakness, apathy and stunted growth. Clinical examination revealed generalized ataxia, propioceptive deficits, decreased menace response and sensibility. Postmortem examination did not reveal macroscopic changes of major organs. Histologically, the brain and the spinal cord lesions were characterized by polymicrocavitation, preferentially affecting the white matter fibers at the junction of grey and white matter and by the presence of Alzheimer type II cells. The liver revealed lesions consistent with a congenital portosystemic shunt, characterized by increased numbers of arteriolar profiles and hypoplasia to absence of portal veins. The pathological investigations along with the animal history and clinical signs indicated a hepatic encephalomyelopathy due to a congenital portosystemic shunt.
Animals
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Cattle
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Cattle Diseases/*congenital
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Cerebrum/pathology
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Female
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Hepatic Encephalopathy/*veterinary
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Liver/pathology
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Portal System/*abnormalities
3.Congenital Intrahepatic Portosystemic Venous Shunt and Liver Mass in a Child Patient: Successful Endovascular Treatment with an Amplatzer Vascular Plug (AVP).
Sae Ah LEE ; Young Seok LEE ; Kun Song LEE ; Gyeong Sik JEON
Korean Journal of Radiology 2010;11(5):583-586
A congenital intrahepatic portosystemic shunt is a rare anomaly; but, the number of diagnosed cases has increased with advanced imaging tools. Symptomatic portosystemic shunts, especially those that include hyperammonemia, should be treated; and various endovascular treatment methods other than surgery have been reported. Hepatic masses with either an intra- or extrahepatic shunt also have been reported, and the mass is another reason for treatment. Authors report a case of a congenital intrahepatic portosystemic shunt with a hepatic mass that was successfully treated using a percutaneous endovascular approach with vascular plugs. By the time the first short-term follow-up was conducted, the hepatic mass had disappeared.
Child
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Diagnosis, Differential
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Hepatic Encephalopathy/*congenital/diagnosis/therapy
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Humans
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Liver Neoplasms/*congenital/diagnosis/therapy
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Male
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Portal Vein/*abnormalities
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*Septal Occluder Device
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Tomography, X-Ray Computed
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Ultrasonography, Doppler, Color
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Ultrasonography, Interventional