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|Title:||Laparoscopic treatment of patent ductus venosus: Correlation with ICG rate.|
|Authors:||Perini, Marcos V;Starkey, Graham M;Riddiough, Georgina E;Goh, Su Kah;Jones, Robert M;Christophi, Christopher|
|Affiliation:||The University of Melbourne, Melbourne, Victoria, Australia|
Austin Health, Heidelberg, Victoria, Australia
Austin Health, The University of Melbourne, Heidelberg, Victoria, Australia
|Abstract:||Patent ductus venosus (PDV) is a rare condition of a congenital portosystemic shunt communicating the umbelical vein and the inferior vena cava. This video presents the assessment and feasibility of treating PDV with laparoscopy. A 17-year-old male was referred with symptoms of hepatic encephalopathy. Contrast-enhanced CT revealed a large connection between the left portal vein and the inferior vena cava, which was diagnosed as PDV. ICG measurement before the test occlusion were PDR 5.5 and R15 of 43.8. Immediate after shunt occlusion the rate went up to 11.9 and 16.8. Partial occlusion of the shunt was performed using a vessel loop. Post operative day 1, ICG measurement were PDR 14.2 and R15 11.9. And a Doppler scan of the portal vessels showed patency of the shunt and no signs of portal vein thrombus. Patient was discharged home POD2 and reviewed one week later. A new Doppler scan revealed that shunt was trombosed and there was normal portal vein flow to the liver. The present video shows the usefulness of laparoscopic approach and ICG measurement in assessing and treating PDV shunts.|
|Description:||Conference abstract published in: HPB 2016; 18 (Suppl 1): e302|
|Conference Name:||HPB. Conference: 12th World Congress of the International Hepato-Pancreato-Biliary Association.|
|Conference Location:||Sao Paulo, Brazil|
|Appears in Collections:||Conference presentations|
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