Open AccessTransjugular intrahepatic portosystemic shunt with accidental diagnosis of persistence of the left superior vena cava
Author(s) -
Ioannis Petridis,
Roberto Miraglia,
Gianluca Marrone,
Salvatore Gruttadauria,
Angelo Luca,
Giovanni Vizzini,
Bruno Gridelli
Publication year - 2010
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v16.i9.1158
Subject(s) - medicine , transjugular intrahepatic portosystemic shunt , portal hypertension , radiology , vascular anomaly , shunt (medical) , inferior vena cava , cirrhosis , portosystemic shunt , ascites , budd–chiari syndrome , surgery
Transjugular intrahepatic portosystemic shunt (TIPSS) is considered a valid therapeutic option for the treatment of portal hypertension and its complications. The guidelines for this procedure have already been established on the basis of the normal vascular anatomy and of various technical radiological aspects. In some few rare cases, diagnosis of a congenital vascular anomaly can be made accidentally by interventional radiologists, making the procedure of the TIPSS placement extremely difficult or in some cases technically impossible. This report describes a rare vascular malformation characterized by the absence of the right superior vena cava and persistence of the left superior vena cava in a patient with a diagnosis of advanced liver cirrhosis who needed a TIPSS placement in order to control refractory ascites.