Multidetector CT-guided endovascular treatment of a splenic artery aneurysm in a child with split-liver transplant and surgically ligated splenic artery origin

Research output: Contribution to journalArticle

Abstract

We report the case of a child who underwent left lateral split-liver transplantation for biliary atresia and surgical ligation of the origin of the splenic artery at the time of the transplantation. Post-transplant portal vein thrombosis was initially treated with a meso-rex shunt. This shunt subsequently thrombosed and was replaced by a splenorenal shunt. Three months after splenorenal shunt placement, US showed a 3.7- cm pseudoaneurysm at the hilum of the spleen. Multidetector CT with 3-D reconstruction allowed precise identification of the pseudoaneurysm feeding artery and therefore helped in planning the interventional radiology procedure, avoiding explorative selective catheterisation. The pseudoaneurysm was successfully treated with endovascular coil embolisation. pseudoaneurysms is important because they can be treated by endovascular embolisation or surgical ligation [2, 3].

Original languageEnglish
Pages (from-to)1134-1137
Number of pages4
JournalPediatric Radiology
Volume42
Issue number9
DOIs
Publication statusPublished - Sep 2012

Fingerprint

Splenic Artery
False Aneurysm
Aneurysm
Surgical Splenorenal Shunt
Transplants
Liver
Ligation
Thrombosis
Biliary Atresia
Interventional Radiology
Therapeutics
Portal Vein
Catheterization
Liver Transplantation
Spleen
Arteries
Transplantation

Keywords

  • Embolisation
  • Liver transplantat
  • Pseudoaneurysm
  • Splenorenal shunt

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Pediatrics, Perinatology, and Child Health

Cite this

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title = "Multidetector CT-guided endovascular treatment of a splenic artery aneurysm in a child with split-liver transplant and surgically ligated splenic artery origin",
abstract = "We report the case of a child who underwent left lateral split-liver transplantation for biliary atresia and surgical ligation of the origin of the splenic artery at the time of the transplantation. Post-transplant portal vein thrombosis was initially treated with a meso-rex shunt. This shunt subsequently thrombosed and was replaced by a splenorenal shunt. Three months after splenorenal shunt placement, US showed a 3.7- cm pseudoaneurysm at the hilum of the spleen. Multidetector CT with 3-D reconstruction allowed precise identification of the pseudoaneurysm feeding artery and therefore helped in planning the interventional radiology procedure, avoiding explorative selective catheterisation. The pseudoaneurysm was successfully treated with endovascular coil embolisation. pseudoaneurysms is important because they can be treated by endovascular embolisation or surgical ligation [2, 3].",
keywords = "Embolisation, Liver transplantat, Pseudoaneurysm, Splenorenal shunt",
author = "Settimo Caruso and Roberto Miraglia and Vincenzo Carollo and Luigi Maruzzelli and Angelo Luca",
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AU - Caruso, Settimo

AU - Miraglia, Roberto

AU - Carollo, Vincenzo

AU - Maruzzelli, Luigi

AU - Luca, Angelo

PY - 2012/9

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N2 - We report the case of a child who underwent left lateral split-liver transplantation for biliary atresia and surgical ligation of the origin of the splenic artery at the time of the transplantation. Post-transplant portal vein thrombosis was initially treated with a meso-rex shunt. This shunt subsequently thrombosed and was replaced by a splenorenal shunt. Three months after splenorenal shunt placement, US showed a 3.7- cm pseudoaneurysm at the hilum of the spleen. Multidetector CT with 3-D reconstruction allowed precise identification of the pseudoaneurysm feeding artery and therefore helped in planning the interventional radiology procedure, avoiding explorative selective catheterisation. The pseudoaneurysm was successfully treated with endovascular coil embolisation. pseudoaneurysms is important because they can be treated by endovascular embolisation or surgical ligation [2, 3].

AB - We report the case of a child who underwent left lateral split-liver transplantation for biliary atresia and surgical ligation of the origin of the splenic artery at the time of the transplantation. Post-transplant portal vein thrombosis was initially treated with a meso-rex shunt. This shunt subsequently thrombosed and was replaced by a splenorenal shunt. Three months after splenorenal shunt placement, US showed a 3.7- cm pseudoaneurysm at the hilum of the spleen. Multidetector CT with 3-D reconstruction allowed precise identification of the pseudoaneurysm feeding artery and therefore helped in planning the interventional radiology procedure, avoiding explorative selective catheterisation. The pseudoaneurysm was successfully treated with endovascular coil embolisation. pseudoaneurysms is important because they can be treated by endovascular embolisation or surgical ligation [2, 3].

KW - Embolisation

KW - Liver transplantat

KW - Pseudoaneurysm

KW - Splenorenal shunt

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