scholarly journals Portal Hypertension and Ascites Due to an Arterioportal Fistula: Sequela of a Remote Traumatic Liver Laceration

2016 ◽  
Vol 3 (1) ◽  
pp. e121
Author(s):  
Benjamin M. Hulkower ◽  
Sabah Butty ◽  
Marwan Ghabril
Keyword(s):  
Portal Hypertension ◽  
Arterioportal Fistula ◽  
Liver Laceration

Arterioportal fistula, a rare cause of presinusoidal portal hypertension

2016 ◽  
Vol 39 (1) ◽  
pp. 43-45
Author(s):  
Marta Hernández ◽  
Irene González ◽  
Elba Llop ◽  
Cesar Barrios ◽  
Rocio Costero ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Arterioportal Fistula

Arterioportal Fistula as a Rare Cause of Cryptogenic Portal Hypertension

2012 ◽  
Vol 78 (9) ◽  
pp. 396-398
Author(s):  
Chia-Hao Hsu ◽  
Horng-Ren Yang ◽  
Te-Hung Chen ◽  
Kin-Shing Poon ◽  
Yung-Fang Chen ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Arterioportal Fistula

Arterioportal fistula, a rare cause of presinusoidal portal hypertension

2016 ◽  
Vol 39 (1) ◽  
pp. 43-45 ◽  
Author(s):  
Marta Hernández ◽  
Irene González ◽  
Elba Llop ◽  
Cesar Barrios ◽  
Rocio Costero ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Arterioportal Fistula

scholarly journals S2839 Non-Cirrhotic Portal Hypertension Secondary to Hepatic Arterioportal Fistula

2021 ◽  
Vol 116 (1) ◽  
pp. S1179-S1180
Author(s):  
Ali Wakil ◽  
Mujtaba Mohamed ◽  
Alsadiq Al-Hillan ◽  
Fayssa Salomon ◽  
Gopala Koneru ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Arterioportal Fistula

scholarly journals Transarterial and Transhepatic Endovascular Intervention to Alleviate Portal Hypertension Secondary to Arterioportal Fistula in a Trisomy 21 Infant

2017 ◽  
Vol 07 (01) ◽  
pp. 054-058 ◽  
Author(s):  
Barbaros Cil ◽  
Benan Bayrakci ◽  
Necati Sasmaz ◽  
Gokhan Baysoy ◽  
Figen Gurakan ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Coil Embolization ◽  
Trisomy 21 ◽  
Case Reports ◽  
Portal Blood Flow ◽  
Single Session ◽  
Arterioportal Fistula ◽  
Pediatric Age Group ◽  
Portosystemic Shunts ◽  
Current Report

AbstractIndividuals with trisomy 21 have an 80% risk reduction of vascular anomalies compared with general population. However, an association of trisomy 21 and portal vascular and arteriovenous anomalies has been defined in the literature. The primary hemodynamic abnormality in portal hypertension is increased resistance to portal blood flow. In various case reports in adults and pediatric age group patients, transarterial coil embolization of hepatoportal fistula was described. One of the authors of this article has previously reported successful treatment of congenital arterioportal fistula (APF) with percutaneous transhepatic liquid embolization in a patient who previously had transarterial coil embolization. To date, eight patients with trisomy 21 (Down syndrome) and congenital portosystemic shunts were reported of which four were treated with embolization. Here, we describe a 3-month-old infant with trisomy 21 and intrahepatic APF associated with extrahepatic portal hypertension and massive ascites. In the current report, a rare case of a patient with a diagnosis of trisomy 21 is discussed who was attempted to be treated with transarterial coil embolization and percutaneous transhepatic liquid embolization of the congenital APF in a single session.

scholarly journals Portal Hypertension, Variceal Bleeding, and High Output Cardiac Failure Secondary to an Intrahepatic Arterioportal Fistula

HPB Surgery ◽  
1993 ◽  
Vol 7 (1) ◽  
pp. 53-59 ◽  
Author(s):  
Andrew J. Oishi ◽  
David M. Nagorney ◽  
Kenneth J. Cherry
Keyword(s):  
Portal Hypertension ◽  
Hepatic Resection ◽  
Cardiac Failure ◽  
Variceal Bleeding ◽  
Variceal Hemorrhage ◽  
Hepatic Trauma ◽  
Arterioportal Fistula ◽  
Surgical Closure ◽  
Intrahepatic Arterioportal Fistula ◽  
High Output

Intrahepatic arterioportal fistulas (APF) are uncommon complications following hepatic trauma. Large fistulas can result in portal hypertension and cardiovascular compromise. A 46-year-old patient is described who presented with portal hypertension, variceal bleeding, and high output cardiac failure due to a large intrahepatic APF. Surgical closure of the APF by hepatic resection successfully resolved the portal hypertension, prevented further variceal hemorrhage, and restored normal cardiovascular function.

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