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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| Format: | Book |
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Elsevier,
2022-04-01T00:00:00Z.
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| LEADER | 00000 am a22000003u 4500 | ||
|---|---|---|---|
| 001 | doaj_3199c6e8c57b4bfea85934d8151a57d3 | ||
| 042 | |a dc | ||
| 100 | 1 | 0 | |a Kirkpatrick J. Gillen |e author |
| 700 | 1 | 0 | |a Ricardo Yamada |e author |
| 700 | 1 | 0 | |a Christopher Abraham |e author |
| 700 | 1 | 0 | |a Satish Nadig |e author |
| 245 | 0 | 0 | |a Percutaneous recanalization of a thrombosed Meso-Rex shunt |
| 260 | |b Elsevier, |c 2022-04-01T00:00:00Z. | ||
| 500 | |a 2213-5766 | ||
| 500 | |a 10.1016/j.epsc.2022.102214 | ||
| 520 | |a 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. | ||
| 546 | |a EN | ||
| 690 | |a Meso-Rex shunt | ||
| 690 | |a Portal vein occlusion | ||
| 690 | |a Portal hypertension | ||
| 690 | |a Pediatrics | ||
| 690 | |a RJ1-570 | ||
| 690 | |a Surgery | ||
| 690 | |a RD1-811 | ||
| 655 | 7 | |a article |2 local | |
| 786 | 0 | |n Journal of Pediatric Surgery Case Reports, Vol 79, Iss , Pp 102214- (2022) | |
| 787 | 0 | |n http://www.sciencedirect.com/science/article/pii/S2213576622000410 | |
| 787 | 0 | |n https://doaj.org/toc/2213-5766 | |
| 856 | 4 | 1 | |u https://doaj.org/article/3199c6e8c57b4bfea85934d8151a57d3 |z Connect to this object online. |