Single Stage Endovascular Treatment of a Type 2 Abernethy Malformation: Successful Nonsurgical Outcome in a Case Report
Abernethy malformations are a rare collection of congenital hepatic portosystemic shunts. Our 19-year-old patient is with a type 2 Abernethy malformation elected permanent shunt closure following worsening dyspnea. This report details a single stage endovascular technique wherein shunt closure was a...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
|
| Series: | Case Reports in Radiology |
| Online Access: | http://dx.doi.org/10.1155/2015/491867 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849686131148324864 |
|---|---|
| author | Carl Kraus Vladimir Sheynzon Robert Hanna Joshua Weintraub |
| author_facet | Carl Kraus Vladimir Sheynzon Robert Hanna Joshua Weintraub |
| author_sort | Carl Kraus |
| collection | DOAJ |
| description | Abernethy malformations are a rare collection of congenital hepatic portosystemic shunts. Our 19-year-old patient is with a type 2 Abernethy malformation elected permanent shunt closure following worsening dyspnea. This report details a single stage endovascular technique wherein shunt closure was achieved immediately by placement of an aortic endograft. At 5-month follow-up, the patient reported decreased shortness of breath. Furthermore, ultrasound investigation demonstrated a patent portal vein and right heart catheterization 6 months after procedure revealed decreased pulmonary hypertension relative to preprocedure values. This one step method may serve as an alternative treatment strategy to multistage endovascular closure techniques of type 2 Abernethy malformations. |
| format | Article |
| id | doaj-art-b8dcc68a6a9b4f8ba7bff8291bab7dd5 |
| institution | DOAJ |
| issn | 2090-6862 2090-6870 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Radiology |
| spelling | doaj-art-b8dcc68a6a9b4f8ba7bff8291bab7dd52025-08-20T03:22:49ZengWileyCase Reports in Radiology2090-68622090-68702015-01-01201510.1155/2015/491867491867Single Stage Endovascular Treatment of a Type 2 Abernethy Malformation: Successful Nonsurgical Outcome in a Case ReportCarl Kraus0Vladimir Sheynzon1Robert Hanna2Joshua Weintraub3Department of Radiology, Columbia University Medical Center, New York Presbyterian Hospital, New York, NY 10032, USADepartment of Radiology, Columbia University Medical Center, New York Presbyterian Hospital, New York, NY 10032, USADepartment of Radiology, Columbia University Medical Center, New York Presbyterian Hospital, New York, NY 10032, USADepartment of Radiology, Columbia University Medical Center, New York Presbyterian Hospital, New York, NY 10032, USAAbernethy malformations are a rare collection of congenital hepatic portosystemic shunts. Our 19-year-old patient is with a type 2 Abernethy malformation elected permanent shunt closure following worsening dyspnea. This report details a single stage endovascular technique wherein shunt closure was achieved immediately by placement of an aortic endograft. At 5-month follow-up, the patient reported decreased shortness of breath. Furthermore, ultrasound investigation demonstrated a patent portal vein and right heart catheterization 6 months after procedure revealed decreased pulmonary hypertension relative to preprocedure values. This one step method may serve as an alternative treatment strategy to multistage endovascular closure techniques of type 2 Abernethy malformations.http://dx.doi.org/10.1155/2015/491867 |
| spellingShingle | Carl Kraus Vladimir Sheynzon Robert Hanna Joshua Weintraub Single Stage Endovascular Treatment of a Type 2 Abernethy Malformation: Successful Nonsurgical Outcome in a Case Report Case Reports in Radiology |
| title | Single Stage Endovascular Treatment of a Type 2 Abernethy Malformation: Successful Nonsurgical Outcome in a Case Report |
| title_full | Single Stage Endovascular Treatment of a Type 2 Abernethy Malformation: Successful Nonsurgical Outcome in a Case Report |
| title_fullStr | Single Stage Endovascular Treatment of a Type 2 Abernethy Malformation: Successful Nonsurgical Outcome in a Case Report |
| title_full_unstemmed | Single Stage Endovascular Treatment of a Type 2 Abernethy Malformation: Successful Nonsurgical Outcome in a Case Report |
| title_short | Single Stage Endovascular Treatment of a Type 2 Abernethy Malformation: Successful Nonsurgical Outcome in a Case Report |
| title_sort | single stage endovascular treatment of a type 2 abernethy malformation successful nonsurgical outcome in a case report |
| url | http://dx.doi.org/10.1155/2015/491867 |
| work_keys_str_mv | AT carlkraus singlestageendovasculartreatmentofatype2abernethymalformationsuccessfulnonsurgicaloutcomeinacasereport AT vladimirsheynzon singlestageendovasculartreatmentofatype2abernethymalformationsuccessfulnonsurgicaloutcomeinacasereport AT roberthanna singlestageendovasculartreatmentofatype2abernethymalformationsuccessfulnonsurgicaloutcomeinacasereport AT joshuaweintraub singlestageendovasculartreatmentofatype2abernethymalformationsuccessfulnonsurgicaloutcomeinacasereport |