Percutaneous recanalization of a thrombosed Meso-Rex shunt
Extra-hepatic portal vein obstruction can cause severe portal hypertension. Meso-rex shunting is a surgical option to bypass the extrahepatic portal venous obstruction, connecting the superior mesenteric vein to the left portal vein, restoring hepato-petal blood flow. This is an alternative to porto...
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| Main Authors: | , , , |
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| Format: | Book |
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Elsevier,
2022-04-01T00:00:00Z.
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| Online Access: | Connect to this object online. |
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| Summary: | Extra-hepatic portal vein obstruction can cause severe portal hypertension. Meso-rex shunting is a surgical option to bypass the extrahepatic portal venous obstruction, connecting the superior mesenteric vein to the left portal vein, restoring hepato-petal blood flow. This is an alternative to porto-systemic shunts (e.g. spleno-renal shunt)in a setting of normal liver function and intrahepatic vasculature. Our case is of a 3yo patient who underwent meso-rex shunt creation, which was complicated by thrombosis and recurrent varices and ascites. Percutaneous recanalization and stenting via a trans-splenic approach was successful, and the shunt remained patent at follow up at 1,3, and 5 months. |
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| Item Description: | 2213-5766 10.1016/j.epsc.2022.102214 |