Petridis I, Miraglia R, Marrone G, Gruttadauria S, Luca A, Vizzini GB, Gridelli B. Transjugular intrahepatic portosystemic shunt with accidental diagnosis of persistence of the left superior vena cava. World J Gastroenterol 2010; 16(9): 1158-1160 [PMID: 20205290 DOI: 10.3748/wjg.v16.i9.1158]
Corresponding Author of This Article
Ioannis Petridis, MD, Department of Gastroenterology and Hepatology, Mediterranean Institute for Transplantation and Advanced Specialized Therapies (IsMeTT), University of Pittsburgh Medical Center, Via Tricomi 1, Palermo 90127, Italy. ipetridis2@hotmail.com
Article-Type of This Article
Case Report
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World J Gastroenterol. Mar 7, 2010; 16(9): 1158-1160 Published online Mar 7, 2010. doi: 10.3748/wjg.v16.i9.1158
Transjugular intrahepatic portosystemic shunt with accidental diagnosis of persistence of the left superior vena cava
Ioannis Petridis, Roberto Miraglia, Gianluca Marrone, Salvatore Gruttadauria, Angelo Luca, Giovanni Battista Vizzini, Bruno Gridelli
Ioannis Petridis, Giovanni Battista Vizzini, Department of Gastroenterology and Hepatology, Mediterranean Institute for Transplantation and Advanced Specialized Therapies (IsMeTT), University of Pittsburgh Medical Center, Via Tricomi 1, Palermo 90127, Italy
Roberto Miraglia, Gianluca Marrone, Angelo Luca, Department of Diagnostic and Interventional Radiology, Mediterranean Institute for Transplantation and Advanced Specialized Therapies (IsMeTT), University of Pittsburgh Medical Center, Via Tricomi 1, Palermo 90127, Italy
Salvatore Gruttadauria, Bruno Gridelli, Department of Abdominal Surgery and Organ Transplantation, Mediterranean Institute for Transplantation and Advanced Specialized Therapies (IsMeTT), University of Pittsburgh Medical Center, Via Tricomi 1, Palermo 90127, Italy
Author contributions: Petridis I wrote the paper; Miraglia R and Luca A performed the TIPS procedure; Marrone G performed the abdominal CT scan; Vizzini GB, Gruttadauria S and Gridelli B reviewed the paper.
Correspondence to: Ioannis Petridis, MD, Department of Gastroenterology and Hepatology, Mediterranean Institute for Transplantation and Advanced Specialized Therapies (IsMeTT), University of Pittsburgh Medical Center, Via Tricomi 1, Palermo 90127, Italy. ipetridis2@hotmail.com
Telephone: +39-91-2192111 Fax: +39-91-2192400
Received: October 12, 2009 Revised: December 6, 2009 Accepted: December 13, 2009 Published online: March 7, 2010
Abstract
Transjugular intrahepatic portosystemic shunt (TIPSS) is considered a valid therapeutic option for the treatment of portal hypertension and its complications. The guidelines for this procedure have already been established on the basis of the normal vascular anatomy and of various technical radiological aspects. In some few rare cases, diagnosis of a congenital vascular anomaly can be made accidentally by interventional radiologists, making the procedure of the TIPSS placement extremely difficult or in some cases technically impossible. This report describes a rare vascular malformation characterized by the absence of the right superior vena cava and persistence of the left superior vena cava in a patient with a diagnosis of advanced liver cirrhosis who needed a TIPSS placement in order to control refractory ascites.
