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...

Full description

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
id doaj-3c9ba2c0e8cd42ecb5d3a2eb8e5a53a3
record_format Article
spelling 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
work_keys_str_mv AT pattaraporntanyachun percutaneousembolizationofcongenitalportosystemicvenousfistulainaninfantwithdownsyndrome
AT terrencechun percutaneousembolizationofcongenitalportosystemicvenousfistulainaninfantwithdownsyndrome
AT matthewfiles percutaneousembolizationofcongenitalportosystemicvenousfistulainaninfantwithdownsyndrome
AT nghiavo percutaneousembolizationofcongenitalportosystemicvenousfistulainaninfantwithdownsyndrome
AT ryanmmcadams percutaneousembolizationofcongenitalportosystemicvenousfistulainaninfantwithdownsyndrome
_version_ 1725061350675185664