Your browser doesn't support javascript.
loading
Direct portal vein recanalization with stenting associated with embolization of esophagogastric varices in a patient with portal vein thrombosis.
Lima da Rocha, Renan Danilo; Diniz, Paulo Inácio Alves Ramos; Leão, Alessandra Góes; Rodriguez, Juan Eduardo Rios; Campelo, Priscilla Ribeiro Dos Santos; Souza, José Emerson Dos Santos; Bernardes, Marcos Velludo; Cavalcante, Leonardo Pessoa.
Afiliação
  • Lima da Rocha RD; Federal University of Amazonas, Getúlio Vargas University Hospital, Vascular Surgery Division, Manaus, AM, Brazil.
  • Diniz PIAR; Heart Hospital Foundation Francisca Mendes, Vascular and Endovascular Surgery Division, Manaus, AM, Brazil.
  • Leão AG; Federal University of Amazonas, Getúlio Vargas University Hospital, Vascular Surgery Division, Manaus, AM, Brazil.
  • Rodriguez JER; Heart Hospital Foundation Francisca Mendes, Vascular and Endovascular Surgery Division, Manaus, AM, Brazil.
  • Campelo PRDS; Federal University of Amazonas, Getúlio Vargas University Hospital, General Surgery Division, Manaus, AM, Brazil.
  • Souza JEDS; Federal University of Amazonas, Getúlio Vargas University Hospital, Vascular Surgery Division, Manaus, AM, Brazil.
  • Bernardes MV; Heart Hospital Foundation Francisca Mendes, Vascular and Endovascular Surgery Division, Manaus, AM, Brazil.
  • Cavalcante LP; Federal University of Amazonas, Getúlio Vargas University Hospital, General Surgery Division, Manaus, AM, Brazil.
Ann Med Surg (Lond) ; 81: 104527, 2022 Sep.
Article em En | MEDLINE | ID: mdl-36147127
Introduction: Chronic extrahepatic non-tumoral thrombotic portal vein occlusion in non-cirrhotic patients is a rare condition, affecting 5-10% of patients with portal hypertension. Presentation of case: The present study reports the case of a young patient without previous comorbidities who presented with portal hypertension secondary to chronic extrahepatic non-tumoral thrombotic occlusion of the portal vein. He underwent portal recanalization with a 12 × 80 mm nitinol self-expandable stent and embolization of esophagogastric varices with fibrous springs and cyanoacrylate via transparieto-hepatic access. Immediate resolution of the trans-lesion pressure gradient was obtained transoperatively, while complete remission of esophagogastric varices was verified by endoscopic control during outpatient follow-up. Discussion: Chronic portal vein occlusion is associated or not with liver cirrhosis. The chronic phase is characterized by cavernomatous transformation of the portal vein, which consists of the formation of multiple collaterals that bypass the lesion. This phase usually courses with portal hypertension and consequent variceal gastrointestinal bleeding. Decompression of the portal system through direct recanalization (angioplasty with stenting) is one therapeutic options. Conclusion: We conclude that, in the present case, resolving portal hypertension by direct portal recanalization was a good therapeutic option, as it decompressed the portal system while maintaining the hepatopetal flow.
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Risk_factors_studies Idioma: En Revista: Ann Med Surg (Lond) Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Risk_factors_studies Idioma: En Revista: Ann Med Surg (Lond) Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido