Type II Abernethy malformation presenting with heart failure: A case report

Q4 Medicine

Radiology Case Reports Pub Date : 2025-09-23 DOI:10.1016/j.radcr.2025.09.024

Yanan Gu MD , Jianjun Luo MD, PhD , Yi Chen MD, PhD , Liangwen Wang MD, PhD , Jiaze Yu MD, PhD , Wei Chen MD, PhD , Yongshi Wang MD, PhD , Zhiping Yan MD, PhD , Xiaolin Wang MD, PhD

引用次数: 0

Abstract

Congenital extrahepatic portosystemic shunt (CEPS), known as Abernethy malformation, is a rare vascular anomaly involving aberrant communication between the portal vein (PV) and the inferior vena cava (IVC). In this case, a 51-year-old man with chronic comorbidities presented primarily with symptoms of heart failure rather than hepatic dysfunction. Following endovascular coil embolization of the shunt, the patient's heart failure symptoms improved significantly. This report outlines the diagnostic process and treatment strategy, highlighting the safety and feasibility of a single-session embolization in patients without elevated portal pressure.

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以心力衰竭为表现的II型Abernethy畸形1例

先天性肝外门静脉系统分流（CEPS），俗称Abernethy畸形，是一种罕见的血管异常，涉及门静脉（PV）和下腔静脉（IVC）之间的异常通信。在本病例中，51岁男性慢性合并症主要表现为心力衰竭而非肝功能障碍。在血管内线圈栓塞分流后，患者的心衰症状明显改善。本报告概述了诊断过程和治疗策略，强调了在没有门静脉压力升高的患者中单次栓塞的安全性和可行性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.