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Angiography of Hepatic vascular malformations associated with hereditary hemorrhagic telangiectasia

To describe the angiographic features of hepatic involvement in hereditary hemorrhagic telangiectasia (HHT), particularly the presence of portovenous shunts. We reviewed the angiographic findings of seven patients with HHT. The patients comprised three women and four men with a mean age of 51 years....

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Published in:Cardiovascular and interventional radiology 2003-03, Vol.26 (2), p.177-180
Main Authors: HASHIMOTO, Manabu, TATE, Etuko, NISHII, Toshiaki, WATARAI, Jiro, SHIOYA, Takanobu, WHITE, Robert I
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container_title Cardiovascular and interventional radiology
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creator HASHIMOTO, Manabu
TATE, Etuko
NISHII, Toshiaki
WATARAI, Jiro
SHIOYA, Takanobu
WHITE, Robert I
description To describe the angiographic features of hepatic involvement in hereditary hemorrhagic telangiectasia (HHT), particularly the presence of portovenous shunts. We reviewed the angiographic findings of seven patients with HHT. The patients comprised three women and four men with a mean age of 51 years. Intrahepatic telangiectasias were found in all seven patients and shunts between three vascular channels were found in six of seven patients. In the four patients who had portovenous shunts combined with arterioportal shunts, the portovenous shunts were large. Three patients had no portovenous shunts. Two of these patients had arteriovenous shunts, and one had no shunt. The mean age (69 years) of the patients with portovenous shunts was older than those without portovenous shunts (26 years). Hepatic vascular lesions in HHT are varied, ranging from telangiectasias to large shunts between three vascular channels. In an advanced stage of involvement, large portovenous shunts are present.
doi_str_mv 10.1007/s00270-002-1507-Y
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subjects Adult
Aged
Arteriovenous Malformations - diagnosis
Arteriovenous Malformations - etiology
Arteriovenous Malformations - surgery
Arteriovenous Shunt, Surgical
Biological and medical sciences
BIOMEDICAL RADIOGRAPHY
BLOOD VESSELS
BYPASSES
Female
Gastroenterology. Liver. Pancreas. Abdomen
Hepatic Artery - abnormalities
Hepatic Artery - surgery
Hepatic Veins - abnormalities
Hepatic Veins - surgery
Humans
LIVER
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
MALFORMATIONS
Medical sciences
Middle Aged
PATIENTS
Portal Vein - abnormalities
Portal Vein - surgery
Portasystemic Shunt, Surgical
RADIOLOGY AND NUCLEAR MEDICINE
Retrospective Studies
Severity of Illness Index
Splenic Artery - abnormalities
Splenic Artery - surgery
Telangiectasia, Hereditary Hemorrhagic - diagnosis
Telangiectasia, Hereditary Hemorrhagic - etiology
Telangiectasia, Hereditary Hemorrhagic - surgery
Treatment Outcome
WOMEN
title Angiography of Hepatic vascular malformations associated with hereditary hemorrhagic telangiectasia
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