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- W4377012913 abstract "A 47-year-old male patient with alcohol-related cirrhosis presented to the liver clinic with the complaint of repeated episodes of hepatic encephalopathy (HE) manifested as a disturbance in sleep pattern, hypersomnia, impaired memory, mental confusion, and drowsiness (West Haven grade II/III). On evaluation, the patient had a Child-Pugh score of 6 (CTP-A), hyperammonemia (>200 µg/dL), small and low-risk esophageal varices, splenomegaly, and a large right mesorenal shunt (MRS) with afferent from the superior mesenteric vein and draining into the right renal vein ([Fig. 1]). Vascular plug-assisted retrograde transvenous obliteration (PARTO) of the right MRS was planned since HE and hyperammonemia persisted despite the optimization of standard medical treatment." @default.
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- W4377012913 date "2023-05-18" @default.
- W4377012913 modified "2023-10-10" @default.
- W4377012913 title "Vascular Plug-Assisted Retrograde Obliteration (PARTO) of Right Mesorenal Shunt for Hepatic Encephalopathy: An Uncommon Site of a Spontaneous Portosystemic Shunt in Cirrhosis" @default.
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- W4377012913 doi "https://doi.org/10.1055/s-0043-1768963" @default.
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