Saito Masaya, Seo Yasushi, Yano Yoshihiko, Momose Kenji, Hirano Hirotaka, Yoshida Masaru, Azuma Takeshi
Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan.
Intern Med. 2013;52(5):555-9. doi: 10.2169/internalmedicine.52.9110. Epub 2013 Mar 1.
The patient was a 60-year-old man with encephalopathy without liver cirrhosis. CT angiography revealed a patent ductus venosus between the anterior segmental branch of the portal vein and the middle hepatic vein. Coils were framed in the patent ductus venosus and then used to fill in the frame. After treatment, transarterial portography showed that the shunt flow of the ductus venosus had decreased significantly. After one day, the patient's disturbance of consciousness disappeared. Our case involved the adult-onset of a patent ductus venosus, which is extremely rare. This case is the first in which coil embolization was successfully achieved in a noncirrhotic elderly patient with a patent ductus venosus.
该患者为一名60岁男性，患有脑病但无肝硬化。CT血管造影显示门静脉前段分支与肝中静脉之间存在静脉导管未闭。将线圈置于静脉导管未闭处，然后用于填充框架。治疗后，经动脉门静脉造影显示静脉导管的分流流量显著降低。一天后，患者的意识障碍消失。我们的病例涉及成人期静脉导管未闭，极为罕见。该病例是首例在非肝硬化老年静脉导管未闭患者中成功实现线圈栓塞的病例。
