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A New Procedure for the Treatment of Extrahepatic Portal Hypertension in Children: Portal Cavernoma-Rex Shunt with Interposition of Grafted Portal Vessel 

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Presentation on theme: "A New Procedure for the Treatment of Extrahepatic Portal Hypertension in Children: Portal Cavernoma-Rex Shunt with Interposition of Grafted Portal Vessel "— Presentation transcript:

1 A New Procedure for the Treatment of Extrahepatic Portal Hypertension in Children: Portal Cavernoma-Rex Shunt with Interposition of Grafted Portal Vessel  Jin-Shan Zhang, MMed, Long Li, MD, PhD, Wei Cheng, PhD, MBBS, FRCS  Journal of the American College of Surgeons  Volume 222, Issue 6, Pages e71-e76 (June 2016) DOI: /j.jamcollsurg Copyright © 2016 American College of Surgeons Terms and Conditions

2 Figure 1 Angiography of superior mesenteric vein shows cavernous transformation of portal vein, esophageal and gastric varices, with a short dilation segment of gastric coronary vein. Journal of the American College of Surgeons  , e71-e76DOI: ( /j.jamcollsurg ) Copyright © 2016 American College of Surgeons Terms and Conditions

3 Figure 2 Angiography of umbilical vein shows patent left portal vein without stenosis. Journal of the American College of Surgeons  , e71-e76DOI: ( /j.jamcollsurg ) Copyright © 2016 American College of Surgeons Terms and Conditions

4 Figure 3 The extrahepatic portal vein was dissected to exposed cavernous transformation of portal vein. Journal of the American College of Surgeons  , e71-e76DOI: ( /j.jamcollsurg ) Copyright © 2016 American College of Surgeons Terms and Conditions

5 Figure 4 The inferior mesenteric vein was dissected and used as the bypass vein. Journal of the American College of Surgeons  , e71-e76DOI: ( /j.jamcollsurg ) Copyright © 2016 American College of Surgeons Terms and Conditions

6 Figure 5 Portal cavernoma left portal vein with interposition of grafted vessels. (A) Preoperation. (B) Postoperation. Journal of the American College of Surgeons  , e71-e76DOI: ( /j.jamcollsurg ) Copyright © 2016 American College of Surgeons Terms and Conditions

7 Figure 6 Grafted vessels interposed between portal cavernoma and left intrahepatic portal vein. Journal of the American College of Surgeons  , e71-e76DOI: ( /j.jamcollsurg ) Copyright © 2016 American College of Surgeons Terms and Conditions

8 Figure 7 Abdominal enhanced CT images. (A) Preoperative CT shows cavernous transformation of portal vein. (B) CT at 10 months post surgery shows patency of bypass vein. Journal of the American College of Surgeons  , e71-e76DOI: ( /j.jamcollsurg ) Copyright © 2016 American College of Surgeons Terms and Conditions

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