Nana Yazawa, Takayuki Shimizu, Y. Sakuraoka, Y. Iso, T. Aoki, Mariko Kumazawa, K. Ishihara, Y. Shioyama, A. Irisawa, K. Kubota
{"title":"球囊闭塞逆行经静脉闭塞术致巨大门静脉分流闭塞后肝功能衰竭1例","authors":"Nana Yazawa, Takayuki Shimizu, Y. Sakuraoka, Y. Iso, T. Aoki, Mariko Kumazawa, K. Ishihara, Y. Shioyama, A. Irisawa, K. Kubota","doi":"10.2957/kanzo.62.800","DOIUrl":null,"url":null,"abstract":"We report a case of huge portosystemic shunt treated by balloon-occluded retrograde transvenous obliteration (BRTO). The patient was a 67-year-old female with liver cirrhosis, a huge portal-systemic shunt, hy-perammonemia, and thrombocytopenia. BRTO was performed because hepatic encephalopathy was suspected. The preoperative liver function was Child-Pugh class A, whereas the wedged hepatic venous pressure was 19 mmHg. Six months postoperatively, she had liver failure because of a gastroesophageal varix rupture. This case suggests that cases of BRTO for a huge shunt should be carefully considered in patients with liver cirrhosis.","PeriodicalId":35810,"journal":{"name":"Acta Hepatologica Japonica","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Liver failure after huge portosystemic shunt occlusion by balloon-occluded retrograde transvenous obliteration: A case report\",\"authors\":\"Nana Yazawa, Takayuki Shimizu, Y. Sakuraoka, Y. Iso, T. Aoki, Mariko Kumazawa, K. Ishihara, Y. Shioyama, A. Irisawa, K. Kubota\",\"doi\":\"10.2957/kanzo.62.800\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"We report a case of huge portosystemic shunt treated by balloon-occluded retrograde transvenous obliteration (BRTO). The patient was a 67-year-old female with liver cirrhosis, a huge portal-systemic shunt, hy-perammonemia, and thrombocytopenia. BRTO was performed because hepatic encephalopathy was suspected. The preoperative liver function was Child-Pugh class A, whereas the wedged hepatic venous pressure was 19 mmHg. Six months postoperatively, she had liver failure because of a gastroesophageal varix rupture. This case suggests that cases of BRTO for a huge shunt should be carefully considered in patients with liver cirrhosis.\",\"PeriodicalId\":35810,\"journal\":{\"name\":\"Acta Hepatologica Japonica\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Acta Hepatologica Japonica\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2957/kanzo.62.800\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Hepatologica Japonica","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2957/kanzo.62.800","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
Liver failure after huge portosystemic shunt occlusion by balloon-occluded retrograde transvenous obliteration: A case report
We report a case of huge portosystemic shunt treated by balloon-occluded retrograde transvenous obliteration (BRTO). The patient was a 67-year-old female with liver cirrhosis, a huge portal-systemic shunt, hy-perammonemia, and thrombocytopenia. BRTO was performed because hepatic encephalopathy was suspected. The preoperative liver function was Child-Pugh class A, whereas the wedged hepatic venous pressure was 19 mmHg. Six months postoperatively, she had liver failure because of a gastroesophageal varix rupture. This case suggests that cases of BRTO for a huge shunt should be carefully considered in patients with liver cirrhosis.
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