Hostname: page-component-586b7cd67f-l7hp2 Total loading time: 0 Render date: 2024-11-20T06:28:10.388Z Has data issue: false hasContentIssue false
  • English
  • Français

Portal vein thrombosis in Fontan-associated liver disease

Published online by Cambridge University Press:  14 May 2020

Renate Kaulitz Open the ORCID record for Renate Kaulitz [Opens in a new window] ,
Ludger Sieverding  and
Michael Hofbeck
Renate Kaulitz*
Affiliation:
Division Pediatric Cardiology and Pediatric Intensive Care Medicine, Tuebingen University Children’s Hospital, Germany
Ludger Sieverding
Affiliation:
Division Pediatric Cardiology and Pediatric Intensive Care Medicine, Tuebingen University Children’s Hospital, Germany
Michael Hofbeck
Affiliation:
Division Pediatric Cardiology and Pediatric Intensive Care Medicine, Tuebingen University Children’s Hospital, Germany
*
Author for correspondence: R. Kaulitz, MD, Division Pediatric Cardiology and Pediatric Intensive Care Medicine, Tuebingen University Children’s Hospital, Hoppe-Seyler Str. 1, D-72076Tuebingen, Germany. Tel: +49 7071 2984711; Fax: +49 7071 295693. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

A 25-year-old patient with signs of cirrhosis on ultrasound and CT presented with portal vein thrombosis on routine follow-up examinations; retrograde hepatic wedge angiography demonstrated only the right-sided portal vein branch. Development of a portosystemic collateral vessel to the left-sided renal vein prevented signs of hypersplenism. This unique complication of portal vein thrombosis should be considered during long-term surveillance.

Keywords

Fontan circulationportal vein thrombosisliver cirrhosisportal hypertension
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 6 , June 2020 , pp. 883 - 885
Copyright
© The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ghaferi, AA, Hutchins, GM. Progression of the liver pathology in patients undergoing the Fontan procedure: chronic passive congestion, cardiac cirrhosis, hepatic adenoma and hepatocellular carcinoma. J Thorac Cardiovasc Surg 2005; 129: 1348–1352.CrossRefGoogle ScholarPubMed
Goldberg, DJ, Surrey, LF, Dodds, K, et al.Hepatic fibrosis is universal following Fontan operation and severity is associated with time from surgery: A liver biopsy and hemodynamic study. J Am Heart Assoc 2017; p.e004809.Google ScholarPubMed
Gordon-Walker, TT, Bove, K, Veldtman, G. Fontan-associated liver disease: A review. J Cardiol 2019; 74: 223–232.CrossRefGoogle ScholarPubMed
Kim, TH, Yang, HK, Jang, HJ, Yoo, SJ, Khalili, K, Kim, TK. Abdominal imaging findings in adult patients with Fontan circulation. Insights Imaging 2018; 9: 357–367.CrossRefGoogle ScholarPubMed
Harding, DJ, Perera, MT, Chen, F, Olliff, S, Tripathi, D. Portal vein thrombosis : Controversies and latest developments. World J Gastroenterology 2015; 21: 6769–6784.CrossRefGoogle ScholarPubMed
Ackermann, T, Geerts, A, Van Vlierberghe, H, De Backer, J, Francois, A. Hepatic changes in the Fontan circulation: Identification of liver dysfunction and an attempt to streamline follow-up screening. Pediatr Cardiol 2018; 39: 1604–1613.CrossRefGoogle Scholar
Rahtgeber, SL, Harris, KC. Fontan-associated liver disease: Evidence for early surveillance of liver health in pediatric Fontan patients. Can J cardiol 2019; 35: 217–220.CrossRefGoogle Scholar
Firdouse, M, Agarwal, A, Chan, AK, Mondal, T. Thrombosis and thromboembolic complications in Fontan patients : a literature review. Clin Appl Thromb Hemost 2014; 20: 484–492.CrossRefGoogle ScholarPubMed
Téllez, L, Rodiguez-Santiago, E, Albillos, A. Fontan-associated liver disease: A review. Ann Hepatology 2018; 17: 192–204.CrossRefGoogle ScholarPubMed
Velpula, M, Sheron, N, Guha, N, Salon, T, Hacking, N, Veldtman, GR. Direct measurement of porto-systemic gradient in a failing Fontan circulation. Congenital Heart Dis 2011; 6: 175–178.CrossRefGoogle Scholar