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Endovascular management of a congenital hepatic arterioportal malformation in a low resource setting

BACKGROUND: Arterioportal malformations, a rare type of vascular malformation, have significant associated morbidity and mortality. Management requires a carefully thought out approach by a multidisciplinary team. Low resource settings have an added challenge of limited treatment options and consuma...

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Detalles Bibliográficos
Autores principales: Loyal, Poonamjeet, Sagoo, Ravjit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9357240/
https://www.ncbi.nlm.nih.gov/pubmed/35932336
http://dx.doi.org/10.1186/s42155-022-00314-1
Descripción
Sumario:BACKGROUND: Arterioportal malformations, a rare type of vascular malformation, have significant associated morbidity and mortality. Management requires a carefully thought out approach by a multidisciplinary team. Low resource settings have an added challenge of limited treatment options and consumables. CASE PRESENTATION: We report a case of a 14-month-old male with failure to thrive due to a congenital hepatic arterioportal fistula. He was successfully treated via an endovascular approach with metallic coil embolization. CONCLUSION: Hepatoportal fistula, a rare hepatic vascular malformation, has limited treatment options which can further be restricted by overall patient wellness. Minimally invasive endovascular treatment options can offer a high rate of success and reverse the morbidity associated with the disease as was seen with our case.