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KMID : 0438520080150020176
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Journal of the Korean Society of Neonatology
2008 Volume.15 No. 2 p.176 ~ p.182
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A Case of Congenital Intrahepatic Portosystemic Shunt Associated with VSD Detected by Antenatal Sonography and Treated with Four Coil Embolizations and Open heart Surgery after Birth
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Na Ji-Youn
Kim Sang-Duk
Kim Ee-Kyung
Choi Jung-Hwan
Kim Han-Suk
Kim Eun-Sun
Chung Jin-Wook
Cheon Jung-Eun
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Abstract
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A congenital portosystemic shunt is a very rare portosystemic vascular anomaly which leads to jaundice, hypoglycemia, hyperammonemia, liver cirrhosis, hepatic coma, and pulmonary hypertension. Anatomically, portosystemic shunts are divided into intra- and extra- hepatic shunts. Congenital intrahepatic portosystemic shunts are rare anomalies, and the early diagnosis is important to prevent hepatic encephalopathy and hypoglycemia. We report a case of an infant with symptoms of heart failure due to a congenital intrahepatic portosystemic shunt and a ventricular septal defect (VSD), which were treated successfully with four coil embolizations and open heart surgery for the VSD
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KEYWORD
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Congenital intrahepatic portosystemic shunt, Heart failure, Ventricular septal defect, Coil embolization
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