SUCCESSFUL MANAGEMENT OF PORTAL-HYPERTENSION FOLLOWING ARTIFICIAL ARTERIOPORTAL SHUNTING - REPORT OF A CASE

被引：7

作者：

KO, SH

NAKAJIMA, Y

KANEHIRO, H

AOMATSU, Y

YOSHIMURA, A

TAKI, J

UENO, M

KIN, T

NAKANO, H

机构：

[1] First Department of Surgery, Nara Medical University, Nara, 634, 840 Shijo-cho, Kashihara

来源：

SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY | 1995年 / 25卷 / 06期

关键词：

ARTIFICIAL ARTERIOPORTAL SHUNT; PORTAL HYPERTENSION; COIL EMBOLIZATION;

D O I：

10.1007/BF00311316

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

A 63-year-old woman diagnosed as having hepatic hilar cancer underwent an extended left lobectomy of the liver with excision of the right hepatic artery which was involved by the tumor. Because the hepatic artery could not be reconstructed by direct anastomosis, an artificial arterioportal (A-P) shunt was constructed between the common hepatic artery and the portal vein. However, 4 weeks after the operation, portal hypertension with severe esophageal varices developed. Under the diagnosis of portal hypertension caused by excessive blood flow from the A-P shunt, coil embolization of the common hepatic artery was performed using an angiographic technique, following which the esophageal varices completely disappeared. This case demonstrates that portal hypertension after A-P shunting can be effectively treated with coil embolization.

引用

页码：557 / 559

页数：3

共 9 条

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