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New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation
Published on: June 27, 2025
Unexpected disappearance of portal cavernoma on long-term anticoagulation
Gilberto Silva-Junior1, Fanny Turon2, Virginia Hernandez-Gea2
1Barcelona Hepatic Hemodynamic Laboratory, Liver Unit, Hospital Clinic, Barcelona, Spain; CAPES Foundation, Ministry of Education of Brazil, Brasília DF 70040-020, Brazil.
Abstract:
Idiopathic non-cirrhotic portal hypertension is a rare disease of unknown etiology. Patients with idiopathic non-cirrhotic portal hypertension have an increased risk of developing portal vein thrombosis and this is especially prevalent when HIV is also present. We describe a unique case of a patient with idiopathic non-cirrhotic portal hypertension associated to HIV, who developed acute portal vein thrombosis that despite anticoagulation transformed in portal cavernoma and disappeared completely after five years of follow-up on continuous anticoagulation.
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