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Updated: Sep 2, 2025
Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Endovascular management of a congenital hepatic arterioportal malformation in a low resource setting
Poonamjeet Loyal1, Ravjit Sagoo2
1Radiology Department, Aga Khan University Hospital Nairobi, P.O. BOX 30270, Nairobi, 00100, Kenya. kaurpoonamjeet@gmail.com.
Background:
Arterioportal malformations, a rare type of vascular malformation, have significant associated morbidity and mortality. Management requires a carefully thought out approach by a multidisciplinary team. Low resource settings have an added challenge of limited treatment options and consumables.
Case Presentation:
We report a case of a 14-month-old male with failure to thrive due to a congenital hepatic arterioportal fistula. He was successfully treated via an endovascular approach with metallic coil embolization.
Conclusion:
Hepatoportal fistula, a rare hepatic vascular malformation, has limited treatment options which can further be restricted by overall patient wellness. Minimally invasive endovascular treatment options can offer a high rate of success and reverse the morbidity associated with the disease as was seen with our case.
