Splenopneumopexy: evaluation with splenoportography

Splenopneumopexy is a procedure designed to create a portopulmonary shunt in patients with esophageal variceal bleeding who are not candidates for conventional portosystemic shunts. Splenoportography was performed in three patients who underwent this surgical procedure. Portopulmonary shunts were identified in two of three patients. No complications resulted from splenoportography. Splenoportography is the procedure of choice to identify portopulmonary shunts in splenopneumopexy patients who have undergone splenic artery embolization.