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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1993-9-8
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pubmed:abstractText |
The authors report the case of a 4 month old child presenting with a congenital arteriovenous fistula of the left hepatic lobe, revealed by a melaena. Doppler ultrasonography and angiography showed a voluminous vascular malformation fed by a left hepatic artery and fistulized in the portal vein. The therapeutical approach was first palliative, by ligature of the left hepatic artery which proved unsuccessful and resulted in re-permeation of the malformation through a right hepatic artery. Two embolization procedures were then attempted, without success. A left hepatectomy was then performed to remove the malformation. The main event of outcome was the secondary occurrence of a portal cavernoma, with persistent splenic segmentary portal hypertension, and oesophageal varicosity. This case report is the occasion for a literature review on congenital arteriovenous fistulae in the portal region, and for a discussion on therapeutical modalities.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:status |
MEDLINE
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pubmed:issn |
0031-4021
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
48
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
211-6
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:8393977-Arteriovenous Fistula,
pubmed-meshheading:8393977-Embolization, Therapeutic,
pubmed-meshheading:8393977-Hepatectomy,
pubmed-meshheading:8393977-Hepatic Artery,
pubmed-meshheading:8393977-Humans,
pubmed-meshheading:8393977-Hypertension, Portal,
pubmed-meshheading:8393977-Infant,
pubmed-meshheading:8393977-Liver,
pubmed-meshheading:8393977-Male,
pubmed-meshheading:8393977-Portal Vein
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pubmed:year |
1993
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pubmed:articleTitle |
[Congenital intrahepatic arterio-portal fistula: diagnostic and therapeutic aspects].
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pubmed:affiliation |
Département d'imagerie médicale, hôpital Pontchaillou, CHRU Rennes, France.
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pubmed:publicationType |
Journal Article,
English Abstract,
Case Reports
|