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- W3030668811 abstract "ObjectiveTo explore the efficacies and outcomes of embolization in the treatment of infant and neonatal congenital intrahepatic arteriovenous shunt.MethodsThree cases of infant and neonatal congenital intrahepatic arteriovenous shunt from April 2007 to February 2011 were retrospectively reviewed.One boy aged 3 months had abdominal distension caused by massive ascite.And another 5-day-old boy had jaundice, atrial septal defect/patent ductus arteriosus and heart failure/pulmonary hypertension.A 6.5-month-old girl was referred for severe upper gastrointestinal bleeding and melena.Splenomegaly and varicose veins were also noted on abdominal wall.Doppler ultrasonography and enhanced computed tomography (CT) suggested the presence of intrahepatic hepatoportal or arteriovenous shunts in all 3 cases.Transarterial embolization was successfully achieved by coiling of hepatic artery in all cases.ResultsThe shunts were blocked by gelfoam and fiber coil.And ascite disappeared spontaneously within 3 weeks after embolization for case 1.For case 2, atrial septal defect/patent ductus arteriosus closed and heart failure/pulmonary hypertension disappeared.And upper gastrointestinal tract bleeding and melena disappeared in case 3.All patients survived and recovered well.ConclusionsCongenital intrahepaticl arteriovenous shunt is rare and transarterial embolization may be an excellent curative option.Key words: Liver; Arteriovenous fistula; Infant, newborn, disease; Chemoembolization, therapeutic" @default.
- W3030668811 created "2020-06-05" @default.
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- W3030668811 date "2015-01-15" @default.
- W3030668811 modified "2023-09-27" @default.
- W3030668811 title "Application of transarterial embolization for congenital intrahepatic arteriovenous shunt in children" @default.
- W3030668811 doi "https://doi.org/10.3760/cma.j.issn.0253-3006.2015.01.014" @default.
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