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Portal Vein Aneurysm Treated With Trans-Jugular Intrahepatic Porto-Systemic Shunt
Robert Dunlap1, Sean Golden1, Gray R Lyons1
1Division of Vascular and Interventional Radiology, Department of Radiology, The 1466Johns Hopkins Hospital, Baltimore, MD, USA.
Abstract:
Portal vein aneurysm (PVA) is a rare entity that can lead to hemorrhage or thrombosis. Although there is no standard treatment, most cases can be managed conservatively; intervention is reserved for symptomatic or enlarging aneurysms. For patients who are not surgical candidates due to cirrhosis and portal hypertension, endovascular creation of a trans-jugular intrahepatic porto-systemic shunt (TIPS) is an option to reduce portal venous pressure. This report describes a case of an enlarging PVA successfully treated with TIPS in a patient with cryptogenic cirrhosis.
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