Percutaneous Embolization of Congenital Portosystemic Venous Fistula in an Infant with Down Syndrome

Congenital intrahepatic portosystemic venous shunts are rare vascular malformations often associated with severe complications. We describe a term male infant with Down syndrome with high output heart failure secondary to a congenital arterial to portal venous fistula that was diagnosed by Doppler u...

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Bibliographic Details
Main Authors: Pattaraporn Tanya Chun, Terrence Chun, Matthew Files, Nghia Vo, Ryan M. McAdams
Format: Article
Language:English
Published: Hindawi Limited 2013-01-01
Series:Case Reports in Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2013/127023
Description
Summary:Congenital intrahepatic portosystemic venous shunts are rare vascular malformations often associated with severe complications. We describe a term male infant with Down syndrome with high output heart failure secondary to a congenital arterial to portal venous fistula that was diagnosed by Doppler ultrasound. Percutaneous embolizations of the left hepatic vein, portal vein, and communicating fistulas were performed without complications, resulting in clinical improvement. A subsequent hepatic ultrasound demonstrated resolution of the pathologic fistulous communication and shunting effects.
ISSN:2090-6986
2090-6994