Sariego J, Wilson A, Aoyama T, Sano C, Kerstein M, Matsumoto T
Department of Surgery, Hahnemann University Hospital, Philadelphia, PA 19102.
Liver. 1992 Jun;12(3):121-3. doi: 10.1111/j.1600-0676.1992.tb00569.x.
A distal splenorenal (Warren) shunt was performed on a 39-year-old female with bleeding esophageal varices secondary to portal hypertension and cirrhosis. On the twelfth postoperative day, however, she rebled, and angiography revealed that the shunt was occluded. Using a percutaneous approach, successful balloon angioplasty and recanalization was performed. The patient did well and was discharged without further bleeding. Percutaneous transluminal angioplasty (PTA) appears to be effective in dilating occluded splenorenal shunts, obviating a second surgical procedure in high-risk patients.
对一名39岁患有门静脉高压和肝硬化继发食管静脉曲张出血的女性患者进行了远端脾肾（沃伦）分流术。然而，术后第12天，她再次出血，血管造影显示分流道闭塞。采用经皮途径成功进行了球囊血管成形术和再通术。患者情况良好，出院时未再出血。经皮腔内血管成形术（PTA）似乎对扩张闭塞的脾肾分流道有效，可避免对高危患者进行二次手术。
