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作者采用逆行下腔静脉内插管技术成功地栓塞1例有2支异常分流血管的肝内门-腔静脉分流(PSVS)。患者女性,57岁,因蛛网膜下腔出血入院,术后检查发现病人肝硬化伴有血氨增高所致的肝性脑病。超声发现自门右静脉的后支向后内走行至下腔静脉(IVC)的扩张管形结构,CT检查提示该异常扩张管腔结构为PSVS,并经肠系膜上动
The authors retrograde vena cava intubation successfully embolized in 1 case with two abnormal shunt vessels of the portal vein - vena cava shunt (PSVS). A 57-year-old female patient was admitted to hospital for subarachnoid hemorrhage. Postoperative examination revealed hepatic encephalopathy in patients with cirrhosis of the liver associated with elevated serum ammonia. Ultrasonography revealed a dilated tubular structure that proceeded posteriorly into the inferior vena cava (IVC) from the posterior branch of the right portal vein. CT examination revealed that the anomalous dilatation of the lumen was PSVS and the superior mesenteric artery