Portal vein thrombosis in Fontan-associated liver disease

2020 ◽  
Vol 30 (6) ◽  
pp. 883-885
Author(s):  
Renate Kaulitz ◽  
Ludger Sieverding ◽  
Michael Hofbeck
Keyword(s):  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Collateral Vessel ◽  
Portal Vein Branch ◽  
Vein Thrombosis ◽  
Portosystemic Collateral ◽  
Branch Development ◽  
The Right

AbstractA 25-year-old patient with signs of cirrhosis on ultrasound and CT presented with portal vein thrombosis on routine follow-up examinations; retrograde hepatic wedge angiography demonstrated only the right-sided portal vein branch. Development of a portosystemic collateral vessel to the left-sided renal vein prevented signs of hypersplenism. This unique complication of portal vein thrombosis should be considered during long-term surveillance.

scholarly journals Extra-Anatomic Jump Graft from the Right Colic Vein: A Novel Technique to Manage Portal Vein Thrombosis in Liver Transplantation

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Paolo Magistri ◽  
Giuseppe Tarantino ◽  
Tiziana Olivieri ◽  
Annarita Pecchi ◽  
Roberto Ballarin ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Iliac Vein ◽  
Safe Alternative ◽  
Vein Thrombosis ◽  
Flow Restoration ◽  
Physiological Approach ◽  
The Right

Background. In the context of cirrhosis, portal vein thrombosis (PVT) is present in 2.1% to 26% of patients. PVT is no longer considered an absolute contraindication for liver transplantation, and nowadays, surgical strategies depend on the extent of PVT. Complete PVT is associated with higher morbidity rates and poor prognosis, while comparable long-term outcomes can be achieved as long as physiological portal inflow is restored. Materials and Methods. We report our experience with a 45-year-old patient undergoing liver transplant with a PVT (stage III-b). To restore portal vein inflow to the liver, an extra-anatomic jump graft from the right colic vein with donor iliac vein interposition was constructed. Results. The patient recovered well, with a progressive improvement of the general conditions, and was finally discharged on p.o.d. 14. No anastomotic defects were found at the postoperative CT scan 10 months after the surgery. Conclusion. Our technical innovation represents a valid and safe alternative to the cavoportal hemitransposition, providing a proper flow restoration and reproducing a physiological setting, while avoiding the complications related to the cavoportal shunt. We believe that the reconstitution of liver portal inflow should be obtained with the most physiological approach possible and considering long-term liver function.

scholarly journals Long-term follow-up of patients with portal vein thrombosis and myeloproliferative neoplasms

2011 ◽  
Vol 9 (11) ◽  
pp. 2208-2214 ◽  
Author(s):  
J. HOEKSTRA ◽  
E. L. BRESSER ◽  
J. H. SMALBERG ◽  
M. C. W. SPAANDER ◽  
F. W. G. LEEBEEK ◽  
...  
Keyword(s):  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Myeloproliferative Neoplasms ◽  
Vein Thrombosis ◽  
Long Term Follow Up

PORTAL VEIN THROMBOSIS AND LIVER TRANSPLANTATION - LONG TERM FOLLOW UP

2010 ◽  
Vol 90 ◽  
pp. 844
Author(s):  
A. P. Ramos ◽  
C. P.H. Reigada ◽  
E. C. Ataide ◽  
A. R. Cardoso ◽  
C. A. Caruy ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Vein Thrombosis ◽  
Long Term Follow Up

scholarly journals Long-term follow-up of portal vein thrombosis in an American Cocker Spaniel with lobular dissecting hepatitis: a case report

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Yumi Sakamoto ◽  
Keita Sato ◽  
Chieko Ishikawa ◽  
Yumiko Kagawa ◽  
Tomohiro Nakayama ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Low Dose ◽  
Cocker Spaniel ◽  
Vein Thrombosis ◽  
Long Term Follow Up ◽  
D Dimer

Abstract Background Lobular dissecting hepatitis (LDH) is a rare form of canine liver cirrhosis that may be accompanied by portal hypertension in American Cocker Spaniels. In human patients with liver cirrhosis, portal vein thrombosis (PVT) is a common complication. However, PVT has not been reported in dogs with LDH. Herein, we describe the long-term follow-up of PVT in an American Cocker Spaniel with LDH. Case presentation An 8-year-old neutered male American Cocker Spaniel presented with a 1-month history of severe abdominal effusion. The dog was histopathologically diagnosed with LDH and treated with low-dose prednisolone on day 14. On day 115, computed tomography angiography (CTA) confirmed the presence of a thrombus in the portal vein. Therefore, the dog was subcutaneously administered with the anticoagulant dalteparin, and low-dose prednisolone was continued. As a follow-up for PVT, CTA examinations were performed on days 207, 515, 886, and 1168, and the dog’s antithrombin and D-dimer levels were measured. Following anticoagulant therapy, the dog was confirmed to have gradually increased antithrombin activity and decreased D-dimer concentrations. In addition, although the thrombus was confirmed to be in the same area of the portal vein system by CTA, atrophy and increased CT values due to organization were observed during the follow-up period. The dog’s condition remained stable without clinical signs until day 1112 when it developed hepatic encephalopathy. The dog died on day 1208. On postmortem examination, histopathologically, the liver showed marked bile duct hyperplasia and fibrosis with chronic thrombus in the portal vein. Conclusions This case demonstrated that low-dose glucocorticoid combined with dalteparin allowed long-term follow-up of PVT in an American Cocker Spaniel with LDH.

18 Impact of portal vein thrombosis on liver transplantation: Long-term follow-up of a large series

2000 ◽  
Vol 6 (3) ◽  
pp. C5-C5
Author(s):  
T FISHBEIN ◽  
M BENHAIM ◽  
D HILTZIG ◽  
S EMRE ◽  
P SHEINER ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Large Series ◽  
Vein Thrombosis ◽  
Long Term Follow Up

Endoscopic treatment of esophagogastric variceal bleeding in patients with noncirrhotic extrahepatic portal vein thrombosis: a long-term follow-up study

2008 ◽  
Vol 67 (6) ◽  
pp. 821-827 ◽  
Author(s):  
Manon C.W. Spaander ◽  
Sarwa Darwish Murad ◽  
Henk R. van Buuren ◽  
Bettina E. Hansen ◽  
Ernst J. Kuipers ◽  
...  
Keyword(s):  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Variceal Bleeding ◽  
Endoscopic Treatment ◽  
Vein Thrombosis ◽  
Follow Up Study ◽  
Long Term Follow Up

scholarly journals MesoTIPS: Combined Approach for the Treatment of Portal Hypertension Secondary to Portal Vein Thrombosis – A Brief Report

2017 ◽  
Vol 01 (01) ◽  
pp. 20-26
Author(s):  
Abbas Chamsuddin ◽  
Lama Nazzal ◽  
Thomas Heffron ◽  
Osama Gaber ◽  
Raja Achou ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Transjugular Intrahepatic Portosystemic Shunt ◽  
Portosystemic Shunt ◽  
Vein Thrombosis ◽  
Intrahepatic Portosystemic Shunt ◽  
The Right ◽  
Minilaparotomy Approach ◽  
Mean Time

AbstractIntroduction: We describe a technique we call “Meso-transjugular intrahepatic portosystemic shunt (MTIPS)” for relief of portal hypertension secondary to portal vein thrombosis (PVT) using combined surgical and endovascular technique. Materials and Methods: Nine adult patients with PVT underwent transjugular intrahepatic portosystemic shunt through a combined transjugular and mesenteric approach (MTIPS), in which a peripheral mesenteric vein was exposed through a minilaparotomy approach. The right hepatic vein was accessed through a transjugular approach. Mechanical thrombectomy, thrombolysis, and angioplasty were performed when feasible to clear PVT. Results: All patients had technically successful procedures. Patients were followed up for a mean time of 13.3 months (range: 8 days to 3 years). All patients are still alive and asymptomatic. Conclusion: We conclude that MTIPS is effective for the relief of portal hypertension secondary to PVT.

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