{"title":"为一名患有低血糖、高氨血症和高胆红素血症的新生儿关闭肝内门-系统分流术","authors":"Kencie Ely , Alvaro Galindo , Humberto Restrepo , Abraham Rothman","doi":"10.1016/j.ppedcard.2024.101752","DOIUrl":null,"url":null,"abstract":"<div><p>A newborn with hypoglycemia was transferred to the neonatal intensive care unit. An elevated bilirubin level prompted an abdominal ultrasound, which revealed a large portosystemic shunt. Due to persistent hypoglycemia, hyperammonemia, and hyperbilirubinemia for 3 weeks, the patient was taken to cardiac catheterization, where the portosystemic shunt was closed with an Amplatzer Vascular Plug IV. The patient's metabolic abnormalities abated. He remained asymptomatic 12 months after the procedure.</p></div>","PeriodicalId":46028,"journal":{"name":"PROGRESS IN PEDIATRIC CARDIOLOGY","volume":null,"pages":null},"PeriodicalIF":0.6000,"publicationDate":"2024-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Closure of an intrahepatic porto-systemic shunt in a newborn with hypoglycemia, hyperammonemia, and hyperbilirubinemia\",\"authors\":\"Kencie Ely , Alvaro Galindo , Humberto Restrepo , Abraham Rothman\",\"doi\":\"10.1016/j.ppedcard.2024.101752\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>A newborn with hypoglycemia was transferred to the neonatal intensive care unit. An elevated bilirubin level prompted an abdominal ultrasound, which revealed a large portosystemic shunt. Due to persistent hypoglycemia, hyperammonemia, and hyperbilirubinemia for 3 weeks, the patient was taken to cardiac catheterization, where the portosystemic shunt was closed with an Amplatzer Vascular Plug IV. The patient's metabolic abnormalities abated. He remained asymptomatic 12 months after the procedure.</p></div>\",\"PeriodicalId\":46028,\"journal\":{\"name\":\"PROGRESS IN PEDIATRIC CARDIOLOGY\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2024-08-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"PROGRESS IN PEDIATRIC CARDIOLOGY\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S105898132400050X\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"PROGRESS IN PEDIATRIC CARDIOLOGY","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S105898132400050X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PEDIATRICS","Score":null,"Total":0}
Closure of an intrahepatic porto-systemic shunt in a newborn with hypoglycemia, hyperammonemia, and hyperbilirubinemia
A newborn with hypoglycemia was transferred to the neonatal intensive care unit. An elevated bilirubin level prompted an abdominal ultrasound, which revealed a large portosystemic shunt. Due to persistent hypoglycemia, hyperammonemia, and hyperbilirubinemia for 3 weeks, the patient was taken to cardiac catheterization, where the portosystemic shunt was closed with an Amplatzer Vascular Plug IV. The patient's metabolic abnormalities abated. He remained asymptomatic 12 months after the procedure.
期刊介绍:
Progress in Pediatric Cardiology is an international journal of review presenting information and experienced opinion of importance in the understanding and management of cardiovascular diseases in children. Each issue is prepared by one or more Guest Editors and reviews a single subject, allowing for comprehensive presentations of complex, multifaceted or rapidly changing topics of clinical and investigative interest.