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Title: Laparoscopic treatment of a patent ductus venosus and the use of indocyanine green to monitor perioperative hepatic function.
Austin Authors: Perini, Marcos V ;Starkey, Graham M ;Goh, Su Kah ;Riddiough, Georgina E ;Christophi, Christopher 
Affiliation: Hepato-Pancreato-Biliary and Transplantation Unit, Austin Health, Heidelberg, Victoria, Australia
Department of Surgery, Austin Health, The University of Melbourne, Heidelberg, Victoria, Australia
Issue Date: 22-Feb-2018
Date: 2018-02
Publication information: Journal of surgical case reports 2018; 2018(2): rjy026
Abstract: Patent ductus venosus (PDV) is an uncommon but important congenital portocaval shunt that can lead to numerous complications if untreated. This case describes the successful management of a 17-year-old male with symptomatic PDV. Doppler ultrasonography and contrast-enhanced computed tomography (CT) confirmed a large communication between the left portal vein and the inferior vena cava. Angiography demonstrated a large and high flow PDV which precluded its therapeutic embolization. Based on these findings, laparoscopic closure of the PDV was elected and successfully performed. Perioperative indocyanine green (ICG) clearance was performed and marked improvement was observed following the occlusion of the PDV. The patient showed immediate resolution of symptoms post-operatively and remains asymptomatic 2 years after his surgery. Laparoscopic approach to the management of PDV is feasible. ICG clearance, for the first time, was demonstrated in this setting to be a useful and rapid bedside test for the real-time assessment of liver function.
DOI: 10.1093/jscr/rjy026
ORCID: 0000-0002-0165-1564
Journal: Journal of surgical case reports
PubMed URL: 29492254
ISSN: 2042-8812
Type: Journal Article
Appears in Collections:Journal articles

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