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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Main Authors: Pattaraporn Tanya Chun, Terrence Chun, Matthew Files, Nghia Vo, Ryan M. McAdams
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2013/127023
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author Pattaraporn Tanya Chun
Terrence Chun
Matthew Files
Nghia Vo
Ryan M. McAdams
author_facet Pattaraporn Tanya Chun
Terrence Chun
Matthew Files
Nghia Vo
Ryan M. McAdams
author_sort Pattaraporn Tanya Chun
collection DOAJ
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.
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publishDate 2013-01-01
publisher Wiley
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series Case Reports in Vascular Medicine
spelling doaj-art-3c9ba2c0e8cd42ecb5d3a2eb8e5a53a32025-02-03T01:12:37ZengWileyCase 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
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
title 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_short 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
url http://dx.doi.org/10.1155/2013/127023
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