Complex Gastrointestinal Vascular Malformation Treated with Interpositional Mesocaval Shunt (Drapanas Procedure)
نویسندگان
چکیده
This video shows an open superior mesenteric vein to inferior cava shunt (Drapanas procedure) treat severe recalcitrant gastrointestinal bleeding. patient had previously has extensive vena and thrombosis that progressed a massive complex portal vascular malformation. The survived for 10 months free of symptoms with no recurrent bleeding after the procedure, before dying from unrelated causes. eyJraWQiOiI4ZjUxYWNhY2IzYjhiNjNlNzFlYmIzYWFmYTU5NmZmYyIsImFsZyI6IlJTMjU2In0.eyJzdWIiOiI4NTFiMjU5M2JkMmMzMzBmZWU3ZWE2ZWE0NDZiOWU3OSIsImtpZCI6IjhmNTFhY2FjYjNiOGI2M2U3MWViYjNhYWZhNTk2ZmZjIiwiZXhwIjoxNjg4NTQ5MTU5fQ.BxMI89jT6SKnAkAmWEV6gzods4h3A3Oh5p15-lyjMUTshK64Nc5hnrr29DSk2rvmIATuWmmR0txid5_IraptcK_u_lVHAY3emFC4emK8Y83wKbCOxoUqWsVP8Q6wW3BFow7Dc4jvw35eTod1Qs8bugUDQ9RTPa_hRBYJCxQqJtcoUUYQ1RqeoTwUKyUCiCdTG7GJE6pwVYn7ySBdpRncKQG_DVYTQg99QbSJo9uzfYjBCR5ByunyvWtDEW4_ljQvdIuX-zSlg4J1qTHX-oSgZdTLPUPyCQH7Xa7UdZ6CFcKp9rVd2ByRx9dd6OSw2jIFb_llipNLDL2HBEx-PiIL3A Download .mp4 (79.86 MB) Help files SUBMISSION 1.11.2023.mp4
منابع مشابه
The Budd Chiari syndrome: a 22 year male treated successfully with mesocaval shunt.
Budd Chiari syndrome (BCS) is a heterogeneous group of disorders characterized by hepatic venous outflow obstruction at any level from the small hepatic veins to the atrio cava junction. BCS could have serious consequences if not treated promptly. Comprehensive angiographic studies, computerised tomography, liver ultrasonography, histology and pathologic analyses are essential for establishing ...
متن کاملRare urogenital malformation associated with complex vascular malformation -- case report.
BACKGROUND Class 3 urogenital malformations are a rarely encountered in the clinical setting. The association with complex vascular malformations represent a challenge in diagnosis and intraoperative management with an enhanced degree of the complexity. CASE PRESENTATION Young female presented to the emergency department with pain in the left lower quadrant and unspecific abdominal symptoms t...
متن کاملBleeding recurrence in patients with gastrointestinal vascular malformation after thalidomide
Thalidomide may be used for the treatment of gastrointestinal vascular malformation (GIVM), but the long-term response and adverse effects are unknown. Aim to study the recurrence rate of GIVM bleeding after thalidomide treatment, the response to treatment, and the adverse effects.This was a retrospective study of 80 patients with GIVM treated with thalidomide between November 2003 and November...
متن کاملChylous ascites after an H-graft interposition mesocaval shunt.
A case of chylous ascites occurring after an emergency mesocaval shunt is reported. After an attempt at conservative management had failed, the patient was surgically explored. Although a lymphatic leak could not be identified, oversewing the retroperitoneum in the area of previous dissection and reinforcement with an omental pedicle was successful in preventing postoperative reaccumulation of ...
متن کاملEfficacy of thalidomide for refractory gastrointestinal bleeding from vascular malformation.
BACKGROUND & AIMS Patients with recurrent bleeding from gastrointestinal vascular malformations are a challenge to treat. We investigated the long-term efficacy and safety of thalidomide for refractory bleeding from gastrointestinal vascular malformations in an open-label, randomized study. METHODS Eligible patients were randomly assigned to groups that were given either 100 mg thalidomide (n...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Journal of Vascular Surgery
سال: 2023
ISSN: ['1085-875X', '0741-5214', '1097-6809']
DOI: https://doi.org/10.1016/j.jvs.2023.03.493