Novel Staged Device Occlusion of Portosystemic Shunt With Atrial Flow Regulator in IVC Stent Platform

Seán T. Kelleher, Kevin P. Walsh, Damien Kenny, Emer Fitzpatrick, Elchanan Bruckheimer, S. Murthy Chennapragada, Pradeep Govender, Philip A. Roberts
Children’s Health Ireland at Crumlin. Schneider Children’s Medical Centre of Israel. Children’s Hospital at Westmead. Tallaght University Hospital.
Ireland, Israel and Australia

Journal of the American Colege of Cardiology Case Reports
JACC Case Rep 2024; 29:
DOI: 10.1016/j.jaccas.2024.102340

Abstract
We present the cases of 2 children diagnosed with extrahepatic portosystemic shunts, a very rare vascular anomaly, on investigation of cardiac symptomatology. Poorly developed portal venous systems necessitated staged shunt occlusion. This was achieved using atrial flow regulator devices positioned in an inferior vena cava stent platform performed in the cardiac catheterization laboratory.

Category
Class I. Pulmonary Hypertension Associated with Congenital Cardiovascular Disease
Class I. Pulmonary Hypertension Associated with Liver Disease
Surgical and Catheter-mediated Interventions for Pulmonary Vascular Disease

Age Focus: Pediatric Pulmonary Vascular Disease

Fresh or Filed Publication: Fresh (PHresh). Less than 1-2 years since publication

Article Access
Free PDF File or Full Text Article Available Through PubMed or DOI: Yes

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