angeborener intrahepatischer portosystemischer Shunt

Off-label use

of muscular VSD device for closure of a rare congenital portosystemic shunt. A IVC angiogram showing CPSS. CPSS Congenital portosystemic shunt, IVC Inferior vena Cava, SMV Superior mesenteric vein. B Prolapsed ADO device. ADO Amplatzer duct occluder, CPSS Congenital portosystemic shunt, IVC Inferior vena Cava, PDA Patent ductus arteriosus, SMV Superior mesenteric vein. C Muscular Device placed across the fistula before deployment CPSS Congenital portosystemic shunt, IVC Inferior vena Cava, SMV Superior mesenteric vein. D Muscular Device placed across the fistula after deployment. IVC Inferior Vena Cava, mVSD Muscular ventricular septal defect

Off-label use

of muscular VSD device for closure of a rare congenital portosystemic shunt. Diagram of the approach used for closure of the CPSS. Parts: Part 1 showing the fistula/Part 2: Shows the pathway used for closure, Part 3 shows the device across the fistula. IVC Inferior vena cava, LRV Left renal vein, PV Portal vein, SV Splenic vein, SMV Superior mesenteric vein.