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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2013-01-01
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Series: | Case Reports in Vascular Medicine |
Online Access: | http://dx.doi.org/10.1155/2013/127023 |
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doaj-3c9ba2c0e8cd42ecb5d3a2eb8e5a53a32020-11-25T01:36:43ZengHindawi LimitedCase Reports in Vascular Medicine2090-69862090-69942013-01-01201310.1155/2013/127023127023Percutaneous Embolization of Congenital Portosystemic Venous Fistula in an Infant with Down SyndromePattaraporn Tanya Chun0Terrence Chun1Matthew Files2Nghia Vo3Ryan M. McAdams4Department of Pediatrics, Division of Neonatology, University of Washington, Box 356320, Seattle, WA 98195-6320, USADepartment of Pediatrics, Division of Cardiology, University of Washington, Seattle, WA 98195-6320, USADepartment of Pediatrics, Division of Cardiology, University of Washington, Seattle, WA 98195-6320, USADepartment of Radiology, University of Washington, Seattle, WA 98195-6320, USADepartment of Pediatrics, Division of Neonatology, University of Washington, Box 356320, Seattle, WA 98195-6320, USACongenital 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.http://dx.doi.org/10.1155/2013/127023 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Pattaraporn Tanya Chun Terrence Chun Matthew Files Nghia Vo Ryan M. McAdams |
spellingShingle |
Pattaraporn Tanya Chun Terrence Chun Matthew Files Nghia Vo Ryan M. McAdams Percutaneous Embolization of Congenital Portosystemic Venous Fistula in an Infant with Down Syndrome Case Reports in Vascular Medicine |
author_facet |
Pattaraporn Tanya Chun Terrence Chun Matthew Files Nghia Vo Ryan M. McAdams |
author_sort |
Pattaraporn Tanya Chun |
title |
Percutaneous Embolization of Congenital Portosystemic Venous Fistula in an Infant with Down Syndrome |
title_short |
Percutaneous Embolization of Congenital Portosystemic Venous Fistula in an Infant with Down Syndrome |
title_full |
Percutaneous Embolization of Congenital Portosystemic Venous Fistula in an Infant with Down Syndrome |
title_fullStr |
Percutaneous Embolization of Congenital Portosystemic Venous Fistula in an Infant with Down Syndrome |
title_full_unstemmed |
Percutaneous Embolization of Congenital Portosystemic Venous Fistula in an Infant with Down Syndrome |
title_sort |
percutaneous embolization of congenital portosystemic venous fistula in an infant with down syndrome |
publisher |
Hindawi Limited |
series |
Case Reports in Vascular Medicine |
issn |
2090-6986 2090-6994 |
publishDate |
2013-01-01 |
description |
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. |
url |
http://dx.doi.org/10.1155/2013/127023 |
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