PMC4322406_01
Intraoperative picture shows the PV to IVC shunt
APC-8-64-g001.jpg
PMC4322406_01_APC-8-64-g001.jpg
F1
CEPS II [Figure 1]. Cardiac catheterization showed the mesenteric vein and splenic vein draining into the PV, which in turn, was draining via a fistula into the IVC [Figure 2], double IVC and diffuse pulmonary arteriovenous malformations (PAVM). Upper median laparotomy was performed under general anesthesia and a rent was made in the mesocolon through which IVC, PV, and PV to IVC shunt measuring about 2 cm in length and 2.5 cm in diameter was identified [Figure 1].
Intraoperative picture shows the ligated shunt
APC-8-64-g002.jpg
PMC4322406_01_APC-8-64-g002.jpg
F2
CEPS II [Figure 1]. Cardiac catheterization showed the mesenteric vein and splenic vein draining into the PV, which in turn, was draining via a fistula into the IVC [Figure 2], double IVC and diffuse pulmonary arteriovenous malformations (PAVM). The shunt was ligated [Figure 2].