Successful mesenterico-left portal vein bypass in a child with duplicated round ligaments and rex recessi

Timothy B. Lautz; Alex Dzakovic; Riccardo A. Superina

doi:10.1016/j.jpedsurg.2010.12.017

Successful mesenterico-left portal vein bypass in a child with duplicated round ligaments and rex recessi

Timothy B. Lautz, Alex Dzakovic, Riccardo A. Superina

Surgery

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

A 3-year-old girl with idiopathic extrahepatic portal vein obstruction undergoing mesenterico-left portal vein bypass (MLPVB), or Rex shunt, for recurrent variceal bleeding was intraoperatively discovered to have duplicated round ligaments and Rex recessi. The left and right portal veins connected to their respective round ligaments but had minimal communication within the liver. Intraoperative venography identified a better preserved portal system on the left, and standard MLPVB resulted in excellent shunt flow. The shunt remains patent and the patient asymptomatic 9 months after her operation. Abnormal portal anatomy is not a contraindication to MLPVB.

Original language	English (US)
Pages (from-to)	749-752
Number of pages	4
Journal	Journal of pediatric surgery
Volume	46
Issue number	4
DOIs	https://doi.org/10.1016/j.jpedsurg.2010.12.017
State	Published - Apr 2011

Keywords

Mesenterico-left portal vein bypass
Portal vein obstruction
Rex recessus
Rex shunt
Umbilical vein

ASJC Scopus subject areas

Surgery
Pediatrics, Perinatology, and Child Health

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10.1016/j.jpedsurg.2010.12.017

Cite this

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title = "Successful mesenterico-left portal vein bypass in a child with duplicated round ligaments and rex recessi",

abstract = "A 3-year-old girl with idiopathic extrahepatic portal vein obstruction undergoing mesenterico-left portal vein bypass (MLPVB), or Rex shunt, for recurrent variceal bleeding was intraoperatively discovered to have duplicated round ligaments and Rex recessi. The left and right portal veins connected to their respective round ligaments but had minimal communication within the liver. Intraoperative venography identified a better preserved portal system on the left, and standard MLPVB resulted in excellent shunt flow. The shunt remains patent and the patient asymptomatic 9 months after her operation. Abnormal portal anatomy is not a contraindication to MLPVB.",

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AB - A 3-year-old girl with idiopathic extrahepatic portal vein obstruction undergoing mesenterico-left portal vein bypass (MLPVB), or Rex shunt, for recurrent variceal bleeding was intraoperatively discovered to have duplicated round ligaments and Rex recessi. The left and right portal veins connected to their respective round ligaments but had minimal communication within the liver. Intraoperative venography identified a better preserved portal system on the left, and standard MLPVB resulted in excellent shunt flow. The shunt remains patent and the patient asymptomatic 9 months after her operation. Abnormal portal anatomy is not a contraindication to MLPVB.

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KW - Rex shunt

KW - Umbilical vein

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Successful mesenterico-left portal vein bypass in a child with duplicated round ligaments and rex recessi

Abstract

Keywords

ASJC Scopus subject areas

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