The inferior mesoiliacal shunt: A novel shunt for refractory rectal variceal bleeding due to splanchnic thrombosis

Surgical shunt therapy may be required when pharmacologic, endoscopic, and radiologic treatment of chronic splanchnic vein thrombosis have failed. In this case report, we present a new interposition shunt for the treatment of refractory rectal variceal bleeding: the inferior mesoiliacal shunt betwee...

Full description

Saved in:
Bibliographic Details
Published inJournal of vascular surgery cases and innovative techniques Vol. 6; no. 4; pp. 562 - 565
Main Authors Cappelle, Marie, Douchy, Thomas, Vanbeckevoort, Dirk, Fourneau, Inge, Barriga, Mauricio Sainz, Pirenne, Jacques
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.12.2020
Elsevier
Subjects
Inferior mesoiliacal shunt
Innovative technique
Polycythemia vera
Splanchnic vein thrombosis
Splanchnic vein thrombosis
Inferior mesoiliacal shunt
Polycythemia vera
Online AccessGet full text

Cover

More Information
Summary:Surgical shunt therapy may be required when pharmacologic, endoscopic, and radiologic treatment of chronic splanchnic vein thrombosis have failed. In this case report, we present a new interposition shunt for the treatment of refractory rectal variceal bleeding: the inferior mesoiliacal shunt between the inferior mesenteric vein and the left common iliac vein using a cryopreserved iliac venous graft. The postoperative course was complicated by shunt thrombosis at day 2, probably owing to inadvertent interruption of anticoagulation and a decrease in the shunt flow rate. Surgical thrombectomy was performed successfully. The patient presented no relapse of rectal bleeding and was asymptomatic and well at the 12-month follow-up.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2020.08.015