PMC7236335_01
PMC7236335_02
A) Ischemia of right hepatic lobe; B) partial thrombosis right hepatic vein; C) section hepatic artery proper; D) recanalization left hepatic artery; E) effective arterial perfusion of hepatic remnant
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PMC7236335_02_0102-6720-abcd-33-01-e1493-gf1.jpg
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Computed tomography of abdomen and pelvis (Figure 1A) suggested right hepatic ischemia. A vascular study was proposed, and angiography showed partial thrombosis of the right portal vein (Figure 1B) and complete stenosis of the hepatic artery proper (Figure 1C). Endovascular reperfusion of the hepatic artery proper was performed with a balloon, achieving re-permeabilization of the left hepatic artery (Figure 1D). Duplex ultrasound and computed tomography of the abdomen showed a hepatic remnant with adequate arterial and venous perfusion, with no biliary obstruction (Figure 1E).