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- Title
Meso-Rex bypass to manage prehepatic portal hypertension after the failure of an intrahepatic portosystemic stent shunting.
- Authors
di Francesco, Fabrizio; Monti, Lidia; Grimaldi, Chiara; Zupone, Cristina; Bertocchini, Arianna; de Ville de Goyet, Jean
- Abstract
A cavernomatous transformation of the extrahepatic portion of the portal vein is a common cause of chronic portal hypertension in children. A few attempts at radiological interventions have been reported, but have rarely been successful. In this report, a surgical Meso-Rex bypass was performed to treat complicated prehepatic portal hypertension, after the insertion of an intrahepatic stent for portosystemic shunting had failed. The review of this case nicely illustrates how differently effective are these two shunting procedures-in terms of restoring hepatopetal flow, managing portal hypertension, and establishing-or not-portosystemic connections.
- Subjects
HYPERTENSION in children; PORTAL hypertension; DISEASE complications; CEREBRAL revascularization; PORTAL vein surgery; PEDIATRIC surgery; THERAPEUTICS
- Publication
Pediatric Surgery International, 2015, Vol 31, Issue 1, p101
- ISSN
0179-0358
- Publication type
Report
- DOI
10.1007/s00383-014-3640-5