Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/20415
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
Issue Date: 23-Apr-2016
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 Number/Code: 12
Conference Location: Sao Paulo, Brazil
URI: http://ahro.austin.org.au/austinjspui/handle/1/20415
DOI: 10.1016/j.hpb.2016.02.776
Type: Conference Presentation
Subjects: patent
ductus venosus
Appears in Collections:Conference presentations

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